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(909) 206-4340

independentliving@prioritycarehousing.org

Serving Lake Arrowhead, CA and surrounding areas

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Things to Know Before Applying

Thank you for visiting! We're excited about the opportunity to help you in your situation. Please read the following carefully before applying.

Fully Furnished Housing

We offer fully furnished spaces with all utilities paid, including free in-house laundry and WIFI.

Guaranteed Income Required

Guaranteed Income is required (SSI/SSDI/Organization Pay).

Work-Ready Applicants Only

Individuals must be work-ready (Private Pay).

Strict Program Rules

Program Rules are strictly enforced.

Supportive Housing Intake Assessment!

Think you are good fit? Apply now!

Email*

Client's Gender*

Male

Female

Client's Name*

Client's Name*

Representative's Name*

Client's Name*

Rep's Organization (ex: United Way, VA, etc)*

Client's Phone Number*

Do we have permission to text/leave a message on the number provided?*

Yes

No

Race*

Caucasian

African American

Hispanic

Asian

American Indian/Native American

Islander

Date of Birth*

Client's Current Living Situation*

Living w/a friend

Living in a car

Living in a shelter

Living on the street

Incarcerated

Hospital/Facility

Shared Housing/Group Home

What type of room does the client prefer*

Shared

Private

When does client need to be placed?*

How will the client pay?*

SSI/SSDI

Retirement

Voucher

Organization Funding

Job

Other

How much income do you receive monthly? If none please type NONE*

Does the client suffer from mental illness?*

Yes

No

If answered yes, list mental diagnoses*

Are you disabled?*

Yes

No

List disability(s)*

Does client require a Handicap Accessible living environment?*

Yes

No

Is the client an ex-offender?*

Yes

No

Have you been convicted as a Sex Offender? (Your answer to this questions does not disqualify you from our program & services)*

Yes

No

With 1000ft restriction

Without 1000ft restriction

Are you currently on Probation or Parole?*

Yes

No

Do you need help with recovering from Opioid(s) and/or other drugs and alcohol?*

Yes

No

Will the client have children living with them? (Please list ages)*

Select all of the services you are requesting.*

Transportation Assistance

Job Placement

Apply for SNAP benefits

Apply for SSI/SSDI

Organization Payee

Health Insurance Enrollment

Clothing Donation

Cellphone/Tablet Assistance

Group Therapy

Day Program

Life Skills/Recovery Groups

How did you hear about us*

Referral

Search Engine/Web

Social Media

Word of Mouth

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Contact Info

Phone Number:

(909) 206-4340

Email Address:

independentliving@prioritycarehousing.org

Areas Served:

Serving Lake Arrowhead, CA and surrounding areas

©2026 Priority Care Housing - All Rights Reserved.

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