CLC2 Housing Referral Form

Please note our program eligibility criteria before submitting a referral. Clients who do not meet the following will not be eligible for supportive housing services.

  1. CLC NMD-TAY Client of CLCLA
  2. 18-20 years of age
  3. 90 days prior to 21st birthday
  4. Homeless/unhoused
  5. At-risk of being homeless
  6. Recently housed and/or in transition

All financial assistance requests—including those for tangible items, furniture, or first and last month’s rent—must be referred to Housing Team and are only available to youth actively engaged in services. Funding is limited and subject to availability. Housing referrals for CLCLA 1,3,4 & 5 should be sent to CLCLA4 Housing.

Dependency Contact Information
Referral Information
Please provide the following information about the young person you are referring.
Check all that apply.
Need and Characteristics
Check all that apply.
Check all that apply.
Additional CLC Information
Referral History
Indicate youth interest in the program (i.e., referral outcome)