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Housing Available Now · Safe & Structured Living · Supportive Environment ·

Accepting Applications · Veterans Welcome · Returning Citizens Welcome · Call 205-484-8406 ·

Housing Available Now · Safe & Structured Living · Supportive Environment ·

Accepting Applications · Veterans Welcome · Returning Citizens Welcome · Call 205-484-8406 ·

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Contact

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🏠 Housing Intake Packet

Faithful Hands Adult Living — Confidential Application

APPLICANT INFORMATION

Full Name

Phone Number

Current Address

CURRENT LIVING SITUATION

Homeless In a shelter Homeowner Staying with family/friends Homeowner Renting

Duration In Current Situation:

Reason For Leaving Current Situation:

EMPLOYMENT & INCOME

Current Employment Status

Employed Unemployed

Employer Name

Job Title

Monthly Income

Other Income (SSI, Child Support, etc.)

BACKGROUND INFORMATION

Have you ever been convicted of amsdemeanner? Have you ever been convicted of a felony? Do you have any pending criminal charges?

HOUSING NEED

Permanent housing Transitional housing Emergency shelter Other

Desired move-in date

Employer Name

Job Title

Monthly Income

Other Income (SSI, Child Support, etc.)

Total Monthly Income

EMERGENCY CONTACT

Full Name

Relationship

Phone Number

MEDICAL / SPECIAL NEEDS

Do you have any medical conditions or disabilities we should be aware of?

YES NO

If Yes, Please Describe

EMERGENCY CONTACT

Full Name

Relationship

Phone Number

APPLICANT AGREEMENT

Applicant Signature

Date

I certify that the information provided in this application is true and complete to the best of my knowledge. I understand that any false or misleading information may result in my application being denied.

Ready to find stable, safe housing?

We review all applications within 24–48 hours.

Apply for Housing

Providing safe, stable, and supportive housing for adults in need of a structured environment. Rebuilding lives with dignity and care. A second chance starts here.

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Our Services

Safe & Structured Housing
Supportive Environment
Assistance with Employment
Veterans Housing Support
Returning Citizens Housing

Our Services

205-484-8406
info@faithfulhandsllc.org
Birmingham, Alabama