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REST Client Intake Form

REST Centres provides housing and wrap-around support services to youth who are 16-24 years of age, identify as black, indigenous or person of color, live within Peel Region - Ontario, and are at-risk or experiencing homelessness. Kindly ensure that the basic eligibility requirements, as stated, are met prior to completing this form. Please feel free to call us directly at 905-863-1118 ext. 100 for any further clarity.
We look forward to helping youth shelter dignity by finding a place to call home, and supporting their journey into independence.

Agency Partner or Self referal

Agency Partner or Self referal
A
B

Client's Current City