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COTS Rapid Rehousing Program
Please complete the following questions. Our Rapid Rehousing team will contact you shortly.
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Email
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Your email
Name
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Your answer
Confirm email address
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Your answer
Phone number
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Your answer
Alternate phone number
Your answer
Language preference
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English
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Other:
Where are you/your household currently staying?
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On the street or other public place
Camping outdoors
In a vehicle
Treatment Center
Transitional Housing Program
Emergency Shelter
Hospital
Jail/Prison
With friends/family temporarily (couch-surfing)
In a home/rental unit (not currently homeless)
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