Application for Shelter

We are currently accepting applications for our St. Peter location only!

Please note that we can only provide shelter to individuals/families in our service area (Blue Earth and Nicollet County Minnesota)

Today's Date

Name

First

Last

If you do not have an email address, please provide the email address of someone who we can contact on your behalf.

Phone

If you do not have a phone number, please provide the phone number of someone we can contact on your behalf.

stay enforcement shelter

Is this your contact information?

Yes
No, this is someone you can contact on my behalf

If you are unavailable when we call, is it safe to leave a voicemail/text?

Preferred contact method?

Call/Text
Email

Preferred language?

Please provide the full names, dates of birth, and genders of all persons/familiy members who would come to shelter

Where are you currently staying?

Are you renting, couch hopping, or currently at another homeless shelter? Where do you stay at night? Please be sure to include the city and state.

What city and state are you currently in?

Please describe your current situation in as much detail as possible

Are you experiencing domestic violence, homelessness, eviction? The more information you provide, the easier it is for us to connect you to resources that could benefit you

Do you have any disabilities or health accommodations our staff should know about?

Is there any current law enforcement involvement?

Are you on probation/parole?

Do you or someone in your household struggle with substance use?

Are you working with another service provider? Please provide their contact information if you would like to list them as an alternate contact

Do you have a case worker? Are you on Section 8 or SNAP?

Which shelter location would you like to stay at?

St. Peter