Skip Navigation Print Friendly Banner
  • Font Size:
  • Switch to larger font size Smaller font size

Resource Detail

Resource Title: Homeless Prevention Pilot Assessment Form

Format: Other

Product Developer: Peer-to-Peer icon

Product Type: Toolkit

Date Completed:

Author/Organization: Pickaway County, OH


Pickaway County, Ohio, uses this Excel spreadsheet as a client asessment/intake form for a homelessness prevention pilot program. The form collects information on the client's current living situation, nature of housing crisis, gross monthly income, and employment status. This may be useful to agencies looking to develop client assessment documents.


Please send us your questions and suggestions for improvement here.