Residential on Program Exit

Program Exit Date:

Length of Stay in Program:

Length of Stay in Program(Participant did not leave during the operating year. how long have they been in the project?):

Destination:

Emergency shelter Transitional housing for homeless persons Permanent housing for Homeless Persons Psychiatric hospital or other psychiatric facility Substance abuse treatment facility or detox center Hospital(non-psychiatric) Jail, prison or Juvenile detention facility Room, apartment or house you rent Apartment or house you own Staying or living with family Staying or living with friend Hotel or motel paid for w/o emergency shelter voucher Foster care home Place not meant for habitation Other Don't know Refused

Tenure:
	Permanent
	Transitional
	Don't Know
	Refused

Subsidy Type:

None Public Housing Section 8 S+C HOME Program HOPWA Program Other Housing Subsidy Don't Know Refused

Reason for Leaving:

Left for a housing opportunity before completing program Completed program Non-payment of rent/occupancy charge Non-compliance with project Criminal activity/destruction of property/violence Reached maximum time allowed by project Needs could not be met by project Disagreement with rules/persons Death Unknown/disappeared Other