Kids First Family Shelter Application Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form.The Kids First Family Shelter is a behavior-based, housing-focused shelter program for households with children. Qualifications for admission include: Homeless (per HUD definition) Non-violent and able to live peaceably in a communal setting School-aged children must attend school Must be able to live peaceably in a communal setting Convicted sex offenders are not eligible for residence at KFFS. Those with violent backgrounds may be denied if they cannot demonstrate how they have addressed the causal factors of their violent past. You will be on a waitlist. Once your pre-application has been submitted, COTS will place your name on the KFFS waitlist. When your name comes to the top of the waitlist, COTS will use all the modes of contact you provided on this application to inform you of an open room. COTS contacts multiple applicants from the top of the list to fill each vacancy and provides the room to the household that qualifies first. Agreements while staying at KFFS include (but are not limited to): KFFS is a housing-focused shelter program. Participants are expected to meet regularly with their Care Manager to work on income development & housing search, and to address individual barriers to housing. No alcohol, drugs (outside of your own prescriptions), or related paraphernalia are allowed on COTS property. No purchase or sales of drugs. No theft or property damage. No threats, racial slurs or homophobic language; no violence. Participants are responsible for their own behavior and the behavior of their children; individuals are asked to respect themselves & the community and to promptly clean any mess they create. School-aged children must attend school. Pets are not allowed at KFFS. Any vehicles parked at KFFS must be registered and insured. Campers, RVs, boats or any similar vehicles may not be parked at KFFS COTS is committed to offering low-barrier shelter options to fit a variety of participant needs. Shelter is behavior-based, which means that behavior while in shelter needs to be appropriate and that program agreements need to be maintained. Shelter includes case management and client enrichment services with a focus on obtaining permanent housing. Incomplete applications may be deniedHead of Household Name: *FirstMiddleLastHead of Household SSN: *Head of Household Phone Number: *Head of Household Email: *Head of Household Date of Birth (DOB): * Gross Head your Head of Household Gender: *MaleFemaleNonbinary/OtherWhich pronouns do you prefer? *He/himShe/herThey/themOther adult family members:FirstMiddleLastOther Adult SSN: Other Adult Phone Number:Other Adult Email:Other Adult Date of Birth (DOB): Other Adult Gender: MaleFemaleNonbinary/OtherWhich pronouns do you prefer? He/himShe/herThey/themChildren of the household (Name, Age, Gender): *Have you stayed at KFFS or used any other COTS services in the past? *YesNoIf yes, please describe: Primary Language in the Household: *Is anyone in your household a veteran? *YesNoIs anyone in your household a convicted sex offender? *YesNoHas anyone in your household been convicted of a violent felony in the last five years? *YesNoHas anyone in your household been asked to leave a housing situation for aggressive or abusive behavior in the last five years? *YesNoIf yes, please describe:Do you currently live in a home that you own or rent? *YesNoIf yes, what barriers prevent you from keeping your home?Where do you sleep most frequently? *SheltersCar, Van, or RVTransitional HousingCouch SurfingStreetsOtherIf other, please explain:City where you sleep most frequently: *Have you and your household camped or slept in your vehicle in Petaluma since October 2024? *YesNoIf yes, please describe:Source(s) of household income: *Gross Monthly Income: *How did you hear about COTS? (Check all that apply) *Outreach TeamWord of mouthOnlineCase ManagerPetaluma PD or other law enforcementOtherIf other, how?By signing this application, you consent to receive SMS messages, phone calls and/or emails from COTS for the purpose of processing your application and scheduling intakes. Head of Household Signature: * Clear Signature Date of Submission: *Submit
