The Sophia Way | Intake and Pre-Screen Form
Assisting women from homelessness to stable independent living.
homeless women, homeless, homelessness, shelter, safety, stability, shelter, women's shelter, Bellevue, homeless in King County
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Intake and Pre-Screen Form

Need shelter?

Please fill out the form for our Night Shelter Program.

  1. We will conduct a background check.
  2. You will be placed on a waitlist.
  3. We will contact you when a bed is available.

For more details, click here

Eligibility Criteria for Sophia’s Place

  • Submit to a background check.
  • Attend weekly meetings with your housing case manager.

Contact Information

Name (required)

Date of Birth (required)

Best phone number to contact you

Email

Demographics

Homeless?
yesno

City you became homeless from

Current City of Residence

Emergency Shelter guest?
yesno

Day Center guest?
yesno

By submitting this form you are agreeing to a background check.