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JLannettaM@newhopetransit.org

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Shared & Private Living
Re-Entry Program
FAQs
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Contact

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Take the first step

Application Form

Complete our intake assessment to join the waitlist for a home with J&A New Hope.

Join our waitlist

Supportive Housing Intake Assessment

Please answer each question as completely as you can. Our team reviews every application and will reach out about the next steps.

Contact & representative

Email*

Client's name*

Last name*

Representative’s name*

Representative’s name*

Representative’s organization*

Client’s phone number*

Do we have permission to text or leave a message at the number provided?*

Yes

No

About the client

Client’s gender*

Male

Female

Date of birth*

Race*

Caucasian

African American

Hispanic

Asian

American Indian/Native American

Islander

Client’s current living situation*

Living with a friend

Living in a car

Living in a shelter

Living on the street

Incarcerated

Hospital/Facility

Shared Housing/Group Home

Housing needs

What type of room does the client prefer?*

Shared

Private

When does the client need to be placed?*

Does the client require a handicap-accessible living environment?*

Yes

No

Will the client have children living with them?*

Income & payment

How will the client pay?*

SSI/SSDI

Retirement

Voucher

Organization Funding

Job

Other

How much income does the client receive monthly?*

Health & background

Does the client have a mental illness?*

Yes

No

Is the client disabled?*

Yes

No

Is the client an ex-offender?*

Yes

No

Has the client been convicted as a sex offender?*

Yes

No

With 1000ft restriction

Without 1000ft restriction

Is the client currently on probation or parole?*

Yes

No

Does the client need help recovering from opioids and/or other drugs and alcohol?*

Yes

No

Services & referral

Select all of the services being requested*

Transportation Assistance

Job Placement

Apply for SNAP benefits

Apply for SSI/SSDI

Organization Payee

Health Insurance Enrollment

Clothing Donation

Cellphone/Tablet Assistance

Group Therapy

Day Program

Life Skills/Recovery Groups

How did you hear about us?*

Referral

Search Engine/Web

Social Media

Word of Mouth

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Quick links

Shared & Private Living

Re-Entry Program

Contact info

Shared & Private Living

Phone

Email

JLannettaM@newhopetransit.org

Office hours

Mon–Fri, 9am–5pm
Sat–Sun, closed

Proudly serving Cabarrus, Rowan, Mecklenburg, Stanly, Guilford, Richmond, Anson, and Montgomery Counties

© 2026 J&A New Hope Transitional Services LLC. All rights reserved.

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