Homeless Prevention and Rapid Re-Housing Program

Please fill out this form to get more information on our HPRP Program

Do you live in Springfield, MO city limits?
YesNo

Does the Individual/Family currently have an eviction notice or utility disconnect notice?
YesNo

Does the Individual/Family have social supports or other means of avoiding disconnection or homelessness?
YesNo

Have you ever been homeless?
YesNo

Have you ever been evicted from a residence that was leased in your name?
YesNo

Have you ever been convicted of a felony?
YesNo

Is your current residence in leased in your name?
YesNo