TO BE COMPLETED BY THE PRIMARY HOUSING APPLICANT BEFORE PROGRAM CONSIDERATION: A Shelter for Cancer Families' (ASCF) Short-term Housing Application must be completed by the primary housing applicant (usually the patient or parent of the patient in the case of a minor) before any program consideration may be provided.
TO BE COMPLETED BY ADDITIONAL ADULT FAMILY MEMBER/S, GUEST/S AND CAREGIVER/S: A Shelter for Cancer Families' (ASCF) Additional Adult Family Member/Guest/Caregiver Form should only be completed when more than one adult per family is requesting to receive overnight accommodations from ASCF. For example if both parents will accompany a child in an ASCF apartment, one parent will complete the Short-term Housing Application above as the primary housing applicant. The second parent will complete the Additional Family Member/Guest/Caregiver Application below.
This application must be completed by all individuals (other than the primary applicant who are or will be 18 years or older) planning to stay overnight in ASCF housing.
TO BE COMPLETED NO SOONER THAN 1 WEEK PRIOR TO ANTICIPATED DATE OF ARRIVAL: Background checks should be completed by all patients, guests and family members (18 years of age or older) staying in the apartment. Background checks and security deposits must be submitted at least 4 full business days and no sooner than 1 week prior to anticipated date of arrival. Only one security deposit is required for each family/primary applicant.
Click here to download the Background Check Form. This is required by the apartment complex and it is a form they use for all of their residents. Only the highlighted areas need to be completed. Please return the competed form to firstname.lastname@example.org.
FORM TO BE COMPLETED WITHIN 24 HOURS UPON ARRIVAL AT ASCF APARTMENTS: The Move-in Checklist must be received by ASCF staff within 24 hours upon check-in in order for a return of security deposit to be considered upon check-out.