For Partners
We accept referrals from all organizations in Mendocino County that work with households that are homeless or at-risk of homelessness.
A complete referral for residency includes the Referral Form and the appropriate Eligibility Worksheet. Please include ALL potential members of the household on the referral form. Please also remember to indicate pet ownership and breed.
Referral Forms
Please email these completed forms to [email protected]. Thank you!
Eligibility Worksheet – Individuals and Couples without Children
Eligibility Worksheet – Families with Children or Unaccompanied Youth Under Age 25
Additional Information
These forms are for your information only and do not need to be submitted with a referral.