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Catholic Social Services – Alaska
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Homeless Family Services Screening Form

Homeless Family Services Applicant Information Form (Screening)

The Homeless Family Services Program offers case management to homeless families working to gain and maintain self-suffiency. In order to be eligible for our services under the Community Based Case Management program, the family must have dependents (either dependent children age 18 and below or elderly in dependent care). Please fill out the following information so that we are able to begin determining eligibility.
  • Person Completing Form

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Our Programs

  • 3rd Avenue Resource & Navigation Center
  • Brother Francis Shelter
    • Medical Care at Brother Francis Shelter
    • Brother Francis Shelter Services
    • Support Brother Francis Shelter
  • Clare House
    • Support Clare House
  • Complex Care
  • Family Disability Services
    • Frequently Asked Questions
    • Supplemental Assistance (Waivers, Grants & Forms)
    • Support Family Disability Services
  • Homeless Family Services
    • Shelter-Based Case Management
    • Community-Based Case Management
      • Homeless Family Services Screening Form
    • Supportive Services for Veteran Families
      • Supportive Services for Veteran Families (SSVF) Applicant Information Form (Screening)
    • Flourishing Families
    • Support Homeless Family Services
  • Refugee Assistance & Immigration Services
    • Ukraine Relief
    • Fresh International Gardens & Grow North Farm
    • Who Are RAIS Clients?
    • RAIS Cookbook: Recipes from Alaska’s Refugee Community
    • Support Refugee Assistance Services
  • St. Francis House Food Pantry
    • Support St. Francis House
  • Supportive Family Services
    • Parent Cafés
    • Class: Strengthening Families Essential Skills
    • Workshop: Protective Factors in the Workplace
    • Post-Adoption Services
      • Reunification
    • Support Supportive Family Services

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Contact Us
3710 E. 20th Avenue
Anchorage, Alaska 99508
Phone: 907.222.7300Fax: 907.258.1091 info@cssalaska.org
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CSS - Alaska is a registered 501(c)3 nonprofit organization serving the Anchorage area.

Tax ID (EIN): 92-0037322
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