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RSA Homes- Partner With Us

1. Full Name

*

2. Organization/Company Name

*

3. Email Address

*

4. Phone Number

*

5. What best describes your need?
(select all that apply)

*

Housing for clients / program participants

Temporary / emergency housing

Consulting / housing strategy

Other (please specify)

6. Location of need (City + State)

*

7. Timeline

*

A

Immediate (0–30 days)

B

Short-term (1–3 months)

C

Future planning

8. Estimated number of people or units needed

*

9. Budget or funding source (if known)

*

A

Government funded

B

Nonprofit funded

C

Private / self-funded

D

Not sure

10. Brief description of your need

*

11. Are you ready to move forward within the next 60 days?

*

A

Yes

B

No

C

Just exploring

12. How did you hear about us?

*

A

Referral

B

C

Email

D

Other