{"id":16,"date":"2026-05-24T14:54:26","date_gmt":"2026-05-24T14:54:26","guid":{"rendered":"https:\/\/risepointliving.com\/?page_id=16"},"modified":"2026-06-17T22:56:56","modified_gmt":"2026-06-17T22:56:56","slug":"apply-now","status":"publish","type":"page","link":"https:\/\/risepointliving.com\/?page_id=16","title":{"rendered":"Apply Now"},"content":{"rendered":"\n<h1 class=\"wp-block-heading has-text-align-center alignfull has-background\" style=\"background-color:#f7f4ee\">Apply for Housing Assistance<\/h1>\n\n\n\n<div style=\"height:60px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<p class=\"wp-block-paragraph\">Thank you for your interest in Rise Point Living. Please complete the application form below and a member of our team will review your information and contact you regarding the next steps.<\/p>\n\n\n\n<div style=\"height:100px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n<div class='fluentform ff-default fluentform_wrapper_1 ffs_default_wrap'><form data-form_id=\"1\" id=\"fluentform_1\" class=\"frm-fluent-form fluent_form_1 ff-el-form-top ff_form_instance_1_1 ff-form-loading ffs_default\" data-form_instance=\"ff_form_instance_1_1\" method=\"POST\" ><fieldset  style=\"border: none!important;margin: 0!important;padding: 0!important;background-color: transparent!important;box-shadow: none!important;outline: none!important; min-inline-size: 100%;\">\n                    <legend class=\"ff_screen_reader_title\" style=\"display: block; margin: 0!important;padding: 0!important;height: 0!important;text-indent: -999999px;width: 0!important;overflow:hidden;\">Application Form<\/legend><input type='hidden' name='__fluent_form_embded_post_id' value='16' \/><input type=\"hidden\" id=\"_fluentform_1_fluentformnonce\" name=\"_fluentform_1_fluentformnonce\" value=\"ef4281ebbd\" \/><input type=\"hidden\" name=\"_wp_http_referer\" value=\"\/index.php?rest_route=%2Fwp%2Fv2%2Fpages%2F16\" \/><div data-type=\"name-element\" data-name=\"names\" class=\" ff-field_container ff-name-field-wrapper\" ><div class='ff-t-container'><div class='ff-t-cell '><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_1_names_first_name_' id='label_ff_1_names_first_name_' >First Name<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"names[first_name]\" id=\"ff_1_names_first_name_\" class=\"ff-el-form-control\" placeholder=\"First Name\" aria-invalid=\"false\" aria-required=true><\/div><\/div><\/div><div class='ff-t-cell '><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_1_names_last_name_' id='label_ff_1_names_last_name_' >Last Name<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"names[last_name]\" id=\"ff_1_names_last_name_\" class=\"ff-el-form-control\" placeholder=\"Last Name\" aria-invalid=\"false\" aria-required=true><\/div><\/div><\/div><\/div><\/div><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_1_datetime_1' id='label_ff_1_datetime_1' aria-label=\"Date Of Birth\">Date Of Birth<\/label><div class=\"ff-el-tooltip\" data-content=\"Date of birth is required for eligibility review and applicant verification\"><svg width=\"16\" height=\"16\" viewbox=\"0 0 25 25\"><path d=\"m329 393l0-46c0-2-1-4-2-6-2-2-4-3-7-3l-27 0 0-146c0-3-1-5-3-7-2-1-4-2-7-2l-91 0c-3 0-5 1-7 2-1 2-2 4-2 7l0 46c0 2 1 5 2 6 2 2 4 3 7 3l27 0 0 91-27 0c-3 0-5 1-7 3-1 2-2 4-2 6l0 46c0 3 1 5 2 7 2 1 4 2 7 2l128 0c3 0 5-1 7-2 1-2 2-4 2-7z m-36-256l0-46c0-2-1-4-3-6-2-2-4-3-7-3l-54 0c-3 0-5 1-7 3-2 2-3 4-3 6l0 46c0 3 1 5 3 7 2 1 4 2 7 2l54 0c3 0 5-1 7-2 2-2 3-4 3-7z m182 119c0 40-9 77-29 110-20 34-46 60-80 80-33 20-70 29-110 29-40 0-77-9-110-29-34-20-60-46-80-80-20-33-29-70-29-110 0-40 9-77 29-110 20-34 46-60 80-80 33-20 70-29 110-29 40 0 77 9 110 29 34 20 60 46 80 80 20 33 29 70 29 110z\" transform=\"scale(0.046875 0.046875)\"><\/path><\/svg><\/div><\/div><div class='ff-el-input--content'><input  aria-label='Date Of Birth Use arrow keys to navigate dates. Press enter to select a date.'  aria-haspopup='dialog' data-type-datepicker data-format='d\/m\/Y' type=\"text\" name=\"datetime_1\" id=\"ff_1_datetime_1\" class=\"ff-el-form-control ff-el-datepicker\" placeholder=\"MM\/DD\/YYYY\" data-name=\"datetime_1\"  aria-invalid='false' aria-required=true><\/div><\/div><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_1_dropdown_9' id='label_ff_1_dropdown_9' aria-label=\"Dropdown\">Dropdown<\/label><\/div><div class='ff-el-input--content'><select name=\"dropdown_9\" id=\"ff_1_dropdown_9\" class=\"ff-el-form-control\" data-name=\"dropdown_9\" data-calc_value=\"0\"  aria-invalid=\"false\" aria-required=\"false\" aria-labelledby=\"label_ff_1_dropdown_9\"><option value=\"\">- Select -<\/option><option value=\"Male\"  >Male<\/option><option value=\"Female\"  >Female<\/option><option value=\"None-Binary\"  >None-Binary<\/option><option value=\"Prefer Not To Say\"  >Prefer Not To Say<\/option><\/select><\/div><\/div><div class=\"ff-name-address-wrapper fluent-address\" data-type=\"address-element\" data-name=\"address_1\" ><div class='ff-el-input--label'><label aria-label=\"Address\">Address<\/label><\/div><div class='ff-el-input--content'><div class='ff-t-container'><div class='ff-t-cell'><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_1_address_1_address_line_1_' id='label_ff_1_address_1_address_line_1_' aria-label=\"Address Line 1\">Address Line 1<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"address_1[address_line_1]\" id=\"ff_1_address_1_address_line_1_\" class=\"ff-el-form-control\" placeholder=\"Address Line 1\" data-key_name=\"address_line_1\"  aria-invalid=\"false\" aria-required=false><\/div><\/div><\/div><div class='ff-t-cell'><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_1_address_1_address_line_2_' id='label_ff_1_address_1_address_line_2_' aria-label=\"Address Line 2\">Address Line 2<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"address_1[address_line_2]\" id=\"ff_1_address_1_address_line_2_\" class=\"ff-el-form-control\" placeholder=\"Address Line 2\" data-key_name=\"address_line_2\"  aria-invalid=\"false\" aria-required=false><\/div><\/div><\/div><\/div><div class='ff-t-container'><div class='ff-t-cell'><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_1_address_1_city_' id='label_ff_1_address_1_city_' aria-label=\"City\">City<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"address_1[city]\" id=\"ff_1_address_1_city_\" class=\"ff-el-form-control\" placeholder=\"City\" data-key_name=\"city\"  aria-invalid=\"false\" aria-required=false><\/div><\/div><\/div><div class='ff-t-cell'><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_1_address_1_state_' id='label_ff_1_address_1_state_' aria-label=\"State\">State<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"address_1[state]\" id=\"ff_1_address_1_state_\" class=\"ff-el-form-control\" placeholder=\"State\" data-key_name=\"state\"  aria-invalid=\"false\" aria-required=false><\/div><\/div><\/div><\/div><div class='ff-t-container'><div class='ff-t-cell'><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_1_address_1_zip_' id='label_ff_1_address_1_zip_' aria-label=\"Zip Code\">Zip Code<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"address_1[zip]\" id=\"ff_1_address_1_zip_\" class=\"ff-el-form-control\" placeholder=\"Zip\" data-key_name=\"zip\"  aria-invalid=\"false\" aria-required=false><\/div><\/div><\/div><\/div><\/div><\/div><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_1_email' id='label_ff_1_email' aria-label=\"Email\">Email<\/label><\/div><div class='ff-el-input--content'><input type=\"email\" name=\"email\" id=\"ff_1_email\" class=\"ff-el-form-control\" placeholder=\"Email Address\" data-name=\"email\"  aria-invalid=\"false\" aria-required=true><\/div><\/div><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_1_input_text' id='label_ff_1_input_text' aria-label=\"Phone Number\">Phone Number<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"input_text\" class=\"ff-el-form-control\" placeholder=\"(555) 555-5555\" data-name=\"input_text\" id=\"ff_1_input_text\"  aria-invalid=\"false\" aria-required=true><\/div><\/div><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_1_dropdown_8' id='label_ff_1_dropdown_8' aria-label=\"Preferred Contact Method\">Preferred Contact Method<\/label><\/div><div class='ff-el-input--content'><select name=\"dropdown_8\" id=\"ff_1_dropdown_8\" class=\"ff-el-form-control\" data-name=\"dropdown_8\" data-calc_value=\"0\"  aria-invalid=\"false\" aria-required=\"false\" aria-labelledby=\"label_ff_1_dropdown_8\"><option value=\"\">- Select -<\/option><option value=\"Phone Call\"  >Phone Call<\/option><option value=\"Text Message\"  >Text Message<\/option><option value=\"Email\"  >Email<\/option><\/select><\/div><\/div><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_1_dropdown_2' id='label_ff_1_dropdown_2' aria-label=\"Current Housing Situation\">Current Housing Situation<\/label><\/div><div class='ff-el-input--content'><select name=\"dropdown_2\" id=\"ff_1_dropdown_2\" class=\"ff-el-form-control\" data-name=\"dropdown_2\" data-calc_value=\"0\"  aria-invalid=\"false\" aria-required=\"true\" aria-labelledby=\"label_ff_1_dropdown_2\"><option value=\"\">- Select -<\/option><option value=\"Living with Family\"  >Living with Family<\/option><option value=\"Renting\"  >Renting<\/option><option value=\"Transitional Housing\"  >Transitional Housing<\/option><option value=\"Shelter\"  >Shelter<\/option><option value=\"Facing Eviction\"  >Facing Eviction<\/option><option value=\"Own Home\"  >Own Home<\/option><option value=\"Other\"  selected>Other<\/option><\/select><\/div><\/div><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_1_numeric_field' id='label_ff_1_numeric_field' aria-label=\"Estimated Monthly Income ($)\">Estimated Monthly Income ($)<\/label><\/div><div class='ff-el-input--content'><div class=\"ff_input-group\"><div class=\"ff_input-group-prepend\"><span class=\"ff_input-group-text\">$<\/span><\/div><input type=\"number\" name=\"numeric_field\" id=\"ff_1_numeric_field\" class=\"ff-el-form-control\" placeholder=\"Enter Monthly Income\" data-name=\"numeric_field\" inputmode=\"numeric\" step=\"any\" min=\"0\" aria-valuemin=\"0\"  aria-invalid=\"false\" aria-required=true><\/div><\/div><\/div><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_1_dropdown_3' id='label_ff_1_dropdown_3' aria-label=\"Desired Move-In Date\">Desired Move-In Date<\/label><\/div><div class='ff-el-input--content'><select name=\"dropdown_3\" id=\"ff_1_dropdown_3\" class=\"ff-el-form-control\" data-name=\"dropdown_3\" data-calc_value=\"0\"  aria-invalid=\"false\" aria-required=\"true\" aria-labelledby=\"label_ff_1_dropdown_3\"><option value=\"\">- Select -<\/option><option value=\"ASAP\"  >ASAP<\/option><option value=\"Within 30 Days\"  >Within 30 Days<\/option><option value=\"1-3 Months\"  >1-3 Months<\/option><option value=\"Just Exploring Options\"  >Just Exploring Options<\/option><\/select><\/div><\/div><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label   aria-label=\"Do You Have Pets?\">Do You Have Pets?<\/label><\/div><div class='ff-el-input--content'><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_68c0541cce9014b9aa468aa6a9585dc6'><input  type=\"radio\" name=\"input_radio\" data-name=\"input_radio\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"yes\"  id='input_radio_68c0541cce9014b9aa468aa6a9585dc6' aria-label='Yes' aria-invalid='false' aria-required=true> <span>Yes<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_47cb4606018a4e3fbadef282f7af6548'><input  type=\"radio\" name=\"input_radio\" data-name=\"input_radio\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"no\"  id='input_radio_47cb4606018a4e3fbadef282f7af6548' aria-label='No' aria-invalid='false' aria-required=true> <span>No<\/span><\/label><\/div><\/div><\/div><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_1_description' id='label_ff_1_description' aria-label=\"Do You Have Special Accommodation Needs?\">Do You Have Special Accommodation Needs?<\/label><div class=\"ff-el-tooltip\" data-content=\"Examples:\n\nWheelchair accessible housing\nGround floor preferred\nService animal\nOther accessibility needs\"><svg width=\"16\" height=\"16\" viewbox=\"0 0 25 25\"><path d=\"m329 393l0-46c0-2-1-4-2-6-2-2-4-3-7-3l-27 0 0-146c0-3-1-5-3-7-2-1-4-2-7-2l-91 0c-3 0-5 1-7 2-1 2-2 4-2 7l0 46c0 2 1 5 2 6 2 2 4 3 7 3l27 0 0 91-27 0c-3 0-5 1-7 3-1 2-2 4-2 6l0 46c0 3 1 5 2 7 2 1 4 2 7 2l128 0c3 0 5-1 7-2 1-2 2-4 2-7z m-36-256l0-46c0-2-1-4-3-6-2-2-4-3-7-3l-54 0c-3 0-5 1-7 3-2 2-3 4-3 6l0 46c0 3 1 5 3 7 2 1 4 2 7 2l54 0c3 0 5-1 7-2 2-2 3-4 3-7z m182 119c0 40-9 77-29 110-20 34-46 60-80 80-33 20-70 29-110 29-40 0-77-9-110-29-34-20-60-46-80-80-20-33-29-70-29-110 0-40 9-77 29-110 20-34 46-60 80-80 33-20 70-29 110-29 40 0 77 9 110 29 34 20 60 46 80 80 20 33 29 70 29 110z\" transform=\"scale(0.046875 0.046875)\"><\/path><\/svg><\/div><\/div><div class='ff-el-input--content'><textarea aria-required=\"false\" aria-labelledby=\"label_ff_1_description\" name=\"description\" id=\"ff_1_description\" class=\"ff-el-form-control\" rows=\"3\" cols=\"2\" data-name=\"description\" ><\/textarea><\/div><\/div><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_1_dropdown_4' id='label_ff_1_dropdown_4' aria-label=\"Number Of Occupants\">Number Of Occupants<\/label><\/div><div class='ff-el-input--content'><select name=\"dropdown_4\" id=\"ff_1_dropdown_4\" class=\"ff-el-form-control\" data-name=\"dropdown_4\" data-calc_value=\"0\"  aria-invalid=\"false\" aria-required=\"true\" aria-labelledby=\"label_ff_1_dropdown_4\"><option value=\"\">- Select -<\/option><option value=\"1\"  >1<\/option><option value=\" 2\"  >2<\/option><option value=\"3\"  >3<\/option><option value=\" 4+\"  >4+<\/option><\/select><\/div><\/div><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_1_input_text_2' id='label_ff_1_input_text_2' aria-label=\"Emergency Contact\">Emergency Contact <\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"input_text_2\" class=\"ff-el-form-control\" data-name=\"input_text_2\" id=\"ff_1_input_text_2\"  aria-invalid=\"false\" aria-required=false><\/div><\/div><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_1_input_text_1' id='label_ff_1_input_text_1' aria-label=\"Emergency Contact Number\">Emergency Contact Number<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"input_text_1\" class=\"ff-el-form-control\" placeholder=\"(860) 555-55555\" data-name=\"input_text_1\" id=\"ff_1_input_text_1\"  aria-invalid=\"false\" aria-required=false><\/div><\/div><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_1_dropdown' id='label_ff_1_dropdown' aria-label=\"Employment  Status\">Employment  Status<\/label><\/div><div class='ff-el-input--content'><select name=\"dropdown\" id=\"ff_1_dropdown\" class=\"ff-el-form-control\" data-name=\"dropdown\" data-calc_value=\"0\"  aria-invalid=\"false\" aria-required=\"true\" aria-labelledby=\"label_ff_1_dropdown\"><option value=\"\">- Select -<\/option><option value=\"Full-Time Employed\"  selected>Full-Time Employed<\/option><option value=\"Part-Time Employed\"  >Part-Time Employed<\/option><option value=\"Self-Employed\"  >Self-Employed<\/option><option value=\"Unemployed\"  >Unemployed<\/option><option value=\"Receiving Disability Benefits\"  >Receiving Disability Benefits<\/option><option value=\"Receiving SSI\/SSDI\"  >Receiving SSI\/SSDI<\/option><option value=\"Retired\"  >Retired<\/option><option value=\"Student\"  >Student<\/option><option value=\"Transitional Employment\"  >Transitional Employment<\/option><option value=\"Other\"  >Other<\/option><\/select><\/div><\/div><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label   aria-label=\"Have you ever had an eviction filed against you?\">Have you ever had an eviction filed against you?<\/label><\/div><div class='ff-el-input--content'><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_1_009acf0fba2c831479c57e317a93406e'><input  type=\"radio\" name=\"input_radio_1\" data-name=\"input_radio_1\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"yes\"  id='input_radio_1_009acf0fba2c831479c57e317a93406e' aria-label='Yes' aria-invalid='false' aria-required=true> <span>Yes<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_1_236dc0d3b433ac2d8d5b7d33adc4b0b3'><input  type=\"radio\" name=\"input_radio_1\" data-name=\"input_radio_1\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"no\"  id='input_radio_1_236dc0d3b433ac2d8d5b7d33adc4b0b3' aria-label='No' aria-invalid='false' aria-required=true> <span>No<\/span><\/label><\/div><\/div><\/div><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_1_dropdown_5' id='label_ff_1_dropdown_5' aria-label=\"Type Of Assistance Needed\">Type Of Assistance Needed<\/label><\/div><div class='ff-el-input--content'><select name=\"dropdown_5\" id=\"ff_1_dropdown_5\" class=\"ff-el-form-control\" data-name=\"dropdown_5\" data-calc_value=\"0\"  aria-invalid=\"false\" aria-required=\"true\" aria-labelledby=\"label_ff_1_dropdown_5\"><option value=\"\">- Select -<\/option><option value=\"Transitional Housing\"  >Transitional Housing<\/option><option value=\"Independent Living Support\"  >Independent Living Support<\/option><option value=\"Re-Entry Support\"  >Re-Entry Support<\/option><option value=\"Housing Stabilization\"  >Housing Stabilization<\/option><option value=\"Not Sure \/ Need More Information\"  >Not Sure \/ Need More Information<\/option><\/select><\/div><\/div><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_1_description_1' id='label_ff_1_description_1' aria-label=\"Tell Us About Your Housing Needs\">Tell Us About Your Housing Needs<\/label><div class=\"ff-el-tooltip\" data-content=\"Examples:\n\u2022 Currently homeless\n\u2022 Exiting a shelter or program\n\u2022 Re-entering the community after incarceration\n\u2022 Veteran seeking stable housing\n\u2022 Fleeing domestic violence\n\u2022 At risk of homelessness\n\u2022 Need affordable long-term housing\"><svg width=\"16\" height=\"16\" viewbox=\"0 0 25 25\"><path d=\"m329 393l0-46c0-2-1-4-2-6-2-2-4-3-7-3l-27 0 0-146c0-3-1-5-3-7-2-1-4-2-7-2l-91 0c-3 0-5 1-7 2-1 2-2 4-2 7l0 46c0 2 1 5 2 6 2 2 4 3 7 3l27 0 0 91-27 0c-3 0-5 1-7 3-1 2-2 4-2 6l0 46c0 3 1 5 2 7 2 1 4 2 7 2l128 0c3 0 5-1 7-2 1-2 2-4 2-7z m-36-256l0-46c0-2-1-4-3-6-2-2-4-3-7-3l-54 0c-3 0-5 1-7 3-2 2-3 4-3 6l0 46c0 3 1 5 3 7 2 1 4 2 7 2l54 0c3 0 5-1 7-2 2-2 3-4 3-7z m182 119c0 40-9 77-29 110-20 34-46 60-80 80-33 20-70 29-110 29-40 0-77-9-110-29-34-20-60-46-80-80-20-33-29-70-29-110 0-40 9-77 29-110 20-34 46-60 80-80 33-20 70-29 110-29 40 0 77 9 110 29 34 20 60 46 80 80 20 33 29 70 29 110z\" transform=\"scale(0.046875 0.046875)\"><\/path><\/svg><\/div><\/div><div class='ff-el-input--content'><textarea aria-required=\"false\" aria-labelledby=\"label_ff_1_description_1\" name=\"description_1\" id=\"ff_1_description_1\" class=\"ff-el-form-control\" placeholder=\"Please describe  your current housing situation, challenges, or any additional information you&#039;d like us to know.                                                                                  \" rows=\"3\" cols=\"2\" data-name=\"description_1\" ><\/textarea><\/div><\/div><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_1_dropdown_7' id='label_ff_1_dropdown_7' aria-label=\"Are You Currently working With An Agency\">Are You Currently working With An Agency<\/label><\/div><div class='ff-el-input--content'><select name=\"dropdown_7\" id=\"ff_1_dropdown_7\" class=\"ff-el-form-control\" data-name=\"dropdown_7\" data-calc_value=\"0\"  aria-invalid=\"false\" aria-required=\"false\" aria-labelledby=\"label_ff_1_dropdown_7\"><option value=\"\">- Select -<\/option><option value=\"Yes\"  >Yes<\/option><option value=\"No\"  >No<\/option><\/select><\/div><\/div><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_1_input_text_6' id='label_ff_1_input_text_6' aria-label=\"Agency Name (If Yes)\">Agency Name (If Yes)<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"input_text_6\" class=\"ff-el-form-control\" data-name=\"input_text_6\" id=\"ff_1_input_text_6\"  aria-invalid=\"false\" aria-required=false><\/div><\/div><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_1_dropdown_6' id='label_ff_1_dropdown_6' aria-label=\"Referral Source\">Referral Source<\/label><\/div><div class='ff-el-input--content'><select name=\"dropdown_6\" id=\"ff_1_dropdown_6\" class=\"ff-el-form-control\" data-name=\"dropdown_6\" data-calc_value=\"0\"  aria-invalid=\"false\" aria-required=\"false\" aria-labelledby=\"label_ff_1_dropdown_6\"><option value=\"\">- Select -<\/option><option value=\"Self\"  >Self<\/option><option value=\"Family Member\"  >Family Member<\/option><option value=\"Case Manager\"  >Case Manager<\/option><option value=\"Social Worker\"  >Social Worker<\/option><option value=\"Community Agency\"  >Community Agency<\/option><option value=\"Church\/Faith Organization\"  >Church\/Faith Organization<\/option><option value=\"Google\"  >Google<\/option><option value=\"Facebook\"  >Facebook<\/option><option value=\"Probation \/Parole\"  >Probation \/Parole<\/option><option value=\"Veterans Program\"  >Veterans Program<\/option><option value=\"Shelter\"  >Shelter<\/option><option value=\"Hospital\"  >Hospital<\/option><option value=\"Other\"  >Other<\/option><\/select><\/div><\/div><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_1_input_text_3' id='label_ff_1_input_text_3' aria-label=\"Please Specify Other Referral Source\">Please Specify Other Referral Source<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"input_text_3\" class=\"ff-el-form-control\" data-name=\"input_text_3\" id=\"ff_1_input_text_3\"  aria-invalid=\"false\" aria-required=false><\/div><\/div><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_1_input_text_4' id='label_ff_1_input_text_4' aria-label=\"Enter Case Manager Name (If Applicable)\">Enter Case Manager Name (If Applicable)<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"input_text_4\" class=\"ff-el-form-control\" data-name=\"input_text_4\" id=\"ff_1_input_text_4\"  aria-invalid=\"false\" aria-required=false><\/div><\/div><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_1_input_text_5' id='label_ff_1_input_text_5' aria-label=\"Case Manager Phone Number If Applicable)\">Case Manager Phone Number If Applicable)<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"input_text_5\" class=\"ff-el-form-control\" placeholder=\"(860) 555-5555\" data-name=\"input_text_5\" id=\"ff_1_input_text_5\"  aria-invalid=\"false\" aria-required=false><\/div><\/div><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_1_email_1' id='label_ff_1_email_1' aria-label=\"Case Manager Email\">Case Manager Email<\/label><\/div><div class='ff-el-input--content'><input type=\"email\" name=\"email_1\" id=\"ff_1_email_1\" class=\"ff-el-form-control\" placeholder=\"Email Address\" data-name=\"email_1\"  aria-invalid=\"false\" aria-required=false><\/div><\/div><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label   aria-label=\"Applicant Certification\">Applicant Certification<\/label><\/div><div class='ff-el-input--content'><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='checkbox_8921087a17e203c4e7e5c427a42da755'><input  type=\"checkbox\" name=\"checkbox[]\" data-name=\"checkbox\" class=\"ff-el-form-check-input ff-el-form-check-checkbox\" value=\"I Certify that the information provided is true and complete to the best of my knowledge.\"  id='checkbox_8921087a17e203c4e7e5c427a42da755' aria-label='I Certify that the information provided is true and complete to the best of my knowledge.' aria-invalid='false' aria-required=true> <span>I Certify that the information provided is true and complete to the best of my knowledge.<\/span><\/label><\/div><\/div><\/div><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label   aria-label=\"Authorization to Verify Information\">Authorization to Verify Information<\/label><\/div><div class='ff-el-input--content'><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='checkbox_3_14ee2b30a0914f6a5101c7c8dbeea92a'><input  type=\"checkbox\" name=\"checkbox_3[]\" data-name=\"checkbox_3\" class=\"ff-el-form-check-input ff-el-form-check-checkbox\" value=\"I Authorize Rise Point Living to verify the information provided as part of the application review process\"  id='checkbox_3_14ee2b30a0914f6a5101c7c8dbeea92a' aria-label='I Authorize Rise Point Living to verify the information provided as part of the application review process' aria-invalid='false' aria-required=true> <span>I Authorize Rise Point Living to verify the information provided as part of the application review process<\/span><\/label><\/div><\/div><\/div><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label   aria-label=\"Communication Consent\">Communication Consent<\/label><\/div><div class='ff-el-input--content'><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='checkbox_1_a74a7e5e5499820d658c1b73b5cf314d'><input  type=\"checkbox\" name=\"checkbox_1[]\" data-name=\"checkbox_1\" class=\"ff-el-form-check-input ff-el-form-check-checkbox\" value=\"I consent to being contacted regarding housing availability and application updates\"  id='checkbox_1_a74a7e5e5499820d658c1b73b5cf314d' aria-label='I consent to being contacted regarding housing availability and application updates' aria-invalid='false' aria-required=false> <span>I consent to being contacted regarding housing availability and application updates<\/span><\/label><\/div><\/div><\/div><div class='ff-el-group  ff-custom_html' tabindex='-1' data-name=\"custom_html-1_1\" ><p>Applications are reviewed in the order received.<\/p>\n<p>Completing this application form does not guarantee housing placement.<\/p><\/div><input 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Please complete the application form below and a member of our team will review your information and contact you regarding the next steps. We are committed to reviewing all applications with compassion, respect, and confidentiality.<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-16","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/risepointliving.com\/index.php?rest_route=\/wp\/v2\/pages\/16","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/risepointliving.com\/index.php?rest_route=\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/risepointliving.com\/index.php?rest_route=\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/risepointliving.com\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/risepointliving.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=16"}],"version-history":[{"count":5,"href":"https:\/\/risepointliving.com\/index.php?rest_route=\/wp\/v2\/pages\/16\/revisions"}],"predecessor-version":[{"id":164,"href":"https:\/\/risepointliving.com\/index.php?rest_route=\/wp\/v2\/pages\/16\/revisions\/164"}],"wp:attachment":[{"href":"https:\/\/risepointliving.com\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=16"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}