Transitional Housing Inquiry Request

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Thank you for your inquiry about the GRACE Transitional Housing program. We are located in Grapevine, Texas. In order to process your request, we would like some additional information. Please take a few minutes to answer the questions below. **Please note that this is only an inquiry. This is not an application for shelter or housing.**

Email *

First and Last Name *

Do you currently reside in the Dallas Fort-Worth metroplex? *

Yes

What city do you currently reside in?

Phone Number

When were you last housed?

Are there any other family members seeking shelter with you?

Other than yourself, who else is seeking shelter?

1 child

2 children

3 or more children

Spouse/Significant Other

Other:

Please list the age of any children if applicable:

Are you a veteran?

Yes

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Do you receive government benefits (check all that apply)

Food Stamps

Medicaid

Medicare

SNAP

WIC

TANF

Disability/ SSI/ SSA Child

Other:

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