Conyers, GA · Transitional House
(470) 256-2664·Crisis? 988 · 211
Confidential Housing Intake

Transitional Housing Intake Application

If you or your family need a safe place to stay while rebuilding stability, complete this confidential application. Our intake coordinator will respond within 24 business hours.

What to Expect

  • Confidential review of your application
  • A phone screening with our intake team
  • An in-person eligibility assessment
Your Privacy Matters

All intake information is held in strict organizational confidence. We do not disclose applicant names or details without authorized release.

Need Help Sooner?

Call our intake line directly at (470) 256-2664 or visit our contact page to schedule a screening.

Applicant Information

Fields marked with * are required. Please be as accurate as possible.