CFH Eligibility Prescreening Form

If you need assistance filling out this form or have questions regarding your eligibility please call 704-335-5488 or email Intake@CharlotteFamilyHousing.org

We focus on helping working families experiencing homelessness get on the path to self-sufficiency. Our goal is to serve applicants who:
- Are a family unit (at least one adult age 18 or older with at least one dependent).
- Are considered homeless by HUD definition.
- Have a total household income that is less than 80% of AMI (verified by any income received).
- All adults age 18 and older must be employed, working 30 hours or more per week.
- Have been a Mecklenburg County resident for at least 30 days.
- Are free from active substance abuse for at least three months outside of any residential treatment programs.
- Demonstrate motivation to make changes in their lives and are open to partnering closely with a social worker to do so.
- Are willing to provide proof of income earned and money saved while in the program.
- Have no sex offense convictions, felonies within the last three years and/or with pending charges. A criminal background check is run on all adults in household at time of assessment. Decisions regarding criminal backgrounds are reviewed on a case-by-case basis.
For additional support or to be connected to other housing resources, please call the Coordinated Entry line at 704-284-9665

Please fill out the form below to reach a member of the CFH staff.
Name*
First Last
Phone*
Email*
Have you lived in Mecklenburg County for at least 30 days?*
Do you have at least one child in your custody under the age of 18 years old?*
Are you working a minimum of 30 hours or more per week?*
If no, were your work hours directly impacted by COVID-19?*
If no, are you working at all?*
Do you have any pending criminal charges?*
Have you been convicted of a felony?*
If you have been convicted of a felony, what year was it?*
Have you ever been a client of Charlotte Family Housing?*
If yes, what year did your family participate in the Charlotte Family Housing program?*
CAPTCHA

Our Intake Coordinator will be in contact with you within 2 business days after reviewing your information and if you qualify for the program, you will be sent our full application to complete. Please check your email frequently. Please also check your span or junk mail folders.

We will need the following prior to scheduling an interview:

Application completed in its entirety
Valid ID/Driver's license for all adults in the household
Social security cards and birth certificates for all household members
Paystubs from the last 30 days, reflecting a minimum of 30 hours/week, and proof of all other income
Proof of homelessness

*PLEASE NOTE: Submission of the pre-screen questionnaire is NOT an application. Qualified candidates will receive an application via email within 2 business days.

CFH Eligibility Prescreening Form

Please fill out the form below to reach a member of the CFH staff.