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Veteran Housing Application
Jackson, Mississippi
Eligibility Requirements
Must be a U.S. Military Veteran
Experiencing housing instability or homelessness
Willing to participate in structured case management
Agree to program standards and accountability expectations
Willing to live in a drug- and alcohol-free housing environment
What to Expect
1
Interview and screening
2
Documentation verification
3
Background review
4
Program orientation
5
Move-in scheduling (if accepted)
All fields are required. Information is kept confidential.
Full Name
Phone
Email
Branch of Service
Select branch
Army
Navy
Air Force
Marine Corps
Coast Guard
Space Force
National Guard
Discharge Status
Select discharge status
Honorable
General (Under Honorable Conditions)
Other Than Honorable
Bad Conduct
Dishonorable
Other
Current Living Situation
Select current situation
Homeless (unsheltered)
Emergency shelter
Transitional housing
Staying with family/friends
At risk of losing current housing
Other
Employment Status
Select employment status
Employed full-time
Employed part-time
Unemployed - seeking work
Unemployed - not seeking work
Disabled / Unable to work
Self-employed
Are you currently receiving VA services?
Yes
No
Why are you seeking RISE housing?
Submit Application