Apply below for KHOC Housing Supports Case Management Services and/or KHOC’s Shared Housing Program.

This form is submitted directly to our team at apply@kitsaphoc.org. If this form is not showing correctly on your device, continue scrolling for alternative application options.

Your full name Date of Birth Your email Your phone number City, State & zipcode
Are you interested in receiving housing support case management services to help remove barriers you may have encountered when attempting to find and keep stable housing? By selecting YES you understand that you are consenting to receiving services that are unaffiliated with the KHOC Housing Program. You must be in Kitsap County to receive these services.

Would you like to apply for KHOC Housing? By selecting YES you are certifying that you have means to afford a monthly rental fee between $750-$1,200/month.

Have you been to Kitsap Community Resources at 1201 Park Ave in Bremerton, WA?

Please visit Kitsap Community Resources before submitting an application.

Are you currently homeless (sheltered or unsheltered)? Yes (sheltered)Yes (unsheltered)No Your current address (or where you are currently sleeping) Are you in recovery and interested in Recovery Housing? YesNo Monthly Income Source(s) of Income (examples; SSI, SSDI, employer, none, etc.) How many children under the age of 18 do you have living with you? It is our policy to not allow pets, however a reasonable accommodation may be made with supporting documentation. I understandI do not understand Social security number Criminal History (list all felonies, and any misdemeanors from the past 3 years) Substance Use (describe your history with drugs & alcohol, include date of last use) Reference Name (someone who knows you well) Relationship (how do they know you?) Reference Phone number Emergency Contact Relationship (how do they know you?) Contact phone number

Any additional details about your situation: *Required* "I certify that my answers are true and complete to the best of my knowledge. I agree to have a representative of Kitsap Homes of Compassion reach out to me for further assessment by phone. $20 SCREENING FEE IS NON-REFUNDABLE (payable after approved and placed). I understand that I acquire no rights in a property or unit, or acceptance to become a participant in a Kitsap Homes of Compassion Program, until I sign this application and the lease (if approved). I give Kitsap Homes of Compassion the right to do an investigation into the information I have provided in this application, and into my criminal background, personality, home sharing ability, substance use, and mental health history. Any reports obtained by Kitsap Homes of Compassion in connection with this application are for the sole purpose of investigating into this application. I further understand that inaccurate, fraudulent, false, and/or misleading information may result in denial. KHOC embraces people of every race, color, religion, gender, national origin, disability, or age. Any discrimination is illegal and will not be tolerated. I acknowledge and agree that Kitsap Homes of Compassion and its personnel (including any licensed health care providers) are not my treating health care provider. I further acknowledge and agree that any information I (and my references) provide to them, including information relating to my mental and physical health, is subject to Kitsap Homes of Compassion policies and procedures on the handling of such information and to any state or federal laws governing the confidentiality of health information."

Other ways to apply:

If you prefer to download the application as a PDF file and fill it out manually, the download link is provided below.
Please submit completed applications as an email attachment to apply@kitsaphoc.org or as a fax to the number 360-785-2440.

2024 KHOC_HF Application (4)Download

Questions or difficulties regarding the application?

Call us at 360-245-0385 or email us at Apply@KitsapHOC.org

Visit us and fill out an application at our new office, located at 247 4th St in Bremerton, WA 98337.

Last Updated: May 21st, 2024