Date: ______/______/______                           Beyond Shelter                           Beyond Shelter              ...
_____ (Initials)•   Guests (anyone not listed on your case) are not permitted in the unit at    anytime for any reason.   ...
A 24-hour notice to vacate will be given to the above-mentioned client(s) who violatetheir guest status. If, for any reaso...
Emergency Shelter Services                              HOUSE RULESMoving: Moving in and out of an apartment is to be acco...
Outward Appearance: Any planned alteration that will affect the apartmentcommunity’s outward appearance, such as installin...
Date: ______/______/______                           Beyond Shelter                           Beyond Shelter              ...
_____ (Initials)•   Guests (anyone not listed on your case) are not permitted in the unit at    anytime for any reason.   ...
A 24-hour notice to vacate will be given to the above-mentioned client(s) who violatetheir guest status. If, for any reaso...
Emergency Shelter Services                              HOUSE RULESMoving: Moving in and out of an apartment is to be acco...
Outward Appearance: Any planned alteration that will affect the apartmentcommunity’s outward appearance, such as installin...
Date: ______/______/______                           Beyond Shelter                           Beyond Shelter              ...
_____ (Initials)•   Guests (anyone not listed on your case) are not permitted in the unit at    anytime for any reason.   ...
A 24-hour notice to vacate will be given to the above-mentioned client(s) who violatetheir guest status. If, for any reaso...
Emergency Shelter Services                              HOUSE RULESMoving: Moving in and out of an apartment is to be acco...
Outward Appearance: Any planned alteration that will affect the apartmentcommunity’s outward appearance, such as installin...
Date: ______/______/______                           Beyond Shelter                           Beyond Shelter              ...
_____ (Initials)•   Guests (anyone not listed on your case) are not permitted in the unit at    anytime for any reason.   ...
A 24-hour notice to vacate will be given to the above-mentioned client(s) who violatetheir guest status. If, for any reaso...
Emergency Shelter Services                              HOUSE RULESMoving: Moving in and out of an apartment is to be acco...
Outward Appearance: Any planned alteration that will affect the apartmentcommunity’s outward appearance, such as installin...
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2.5 A Rising Tide: How to Respond to Increased Family Homelessness

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The second of the two-part presentation by Ryan Macy Hurley.

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2.5 A Rising Tide: How to Respond to Increased Family Homelessness

  1. 1. Date: ______/______/______ Beyond Shelter Beyond Shelter elte TARGETED EMERGENCY SHELTER SERVICES PROGRAM Address Short-Term Housing (MLA) Agreement _________________________________ Unit #___________ Phone Number (____)_______________ Head of Household _______________________________________________ Other Adults _______________________________________________ Children _____________________ _____________________ _____________________ _____________________ _____________________ _____________________ Any requests and/or complaints regarding the unit are to be made only to your Beyond Shelter Case Manager and/or MLA Coordinator. _____ (Initials) Emergencies: Emergencies affecting the premises should be promptly reported to Beyond Shelter. Emergencies occurring after office hours should be phoned to the emergency number (323-393-6915). Guests are cautioned to use discretion in reporting emergencies after office hours as, ONLY ABSOLUTE emergencies (ie, health & safety issues, flood, fire, sanitation problems) will receive attention after regular hours. _____ (Initials) Client Responsibilities • The apartment and surrounding property must be maintained in a reasonably clean and orderly manner at all times. Your Case Manager will be conducting an apartment inspection on a weekly basis. Beyond Shelter reserves the right to make unannounced visits to the above referenced property. _____ (Initials) • The apartment must be secured and locked at all times. Last updated 1/20/2011 Page 1
  2. 2. _____ (Initials)• Guests (anyone not listed on your case) are not permitted in the unit at anytime for any reason. _____ (Initials)• Clients agree to comply with all Beyond Shelter rules and regulations, and to follow their case management plan. _____ (Initials)• The above mentioned client (s) are financially responsible for any and all damages that occurs during their stay. _____ (Initials)• All furniture provided for the client as indicated on the move in check list should not be removed from the premise upon vacating the unit. Clients should treat all furniture and household items with care and respect. _____ (Initials)• There is absolutely no smoking of any kind in the MLA unit _____ (Initials)• As the legal guardian of the children the client maintains all responsibility for the safety and well being of their children. _____ (Initials)• No dependant children are permitted to be unsupervised in the client’s unit or around the premises of the apartment building. _____ (Initials)Vacating PremisesBECAUSE THIS RESIDENCE IS SHORT-TERM HOUSING, ALL OF THE ABOVEMENTIONED PERSONS UNDERSTAND THAT, AS GUESTS AT THIS ADDRESS,THEY HAVE NO RIGHTS AS TENANTS UNDER FEDERAL, STATE, OR LOCALORDINANCES AND THEREFORE, WAIVE ANY AND ALL RIGHTS PERTAINING TOEVICTION. _____ (Initials)In order to remain in the unit and under guest status, clients must demonstrate tenantresponsibility or risk being asked to vacate the premises. The following is a partial list ofactivities that are prohibited and are grounds for termination from the program: • Possession or use of illegal or toxic substances • Smoking of any kind in the MLA Unit • Violence or threats of violence • Illegal activities of any kind • Refusing to comply with any of the above mentioned responsibilities or the House Rules • Violation of Guest Policy _____ (Initials)Last updated 1/20/2011 Page 2
  3. 3. A 24-hour notice to vacate will be given to the above-mentioned client(s) who violatetheir guest status. If, for any reason, they do not move by the specified time, BeyondShelter reserves the right to remove personal belongings from the property at the end ofthe 24-hour notice. _____ (Initials)Upon vacating a unit the client must leave the unit as clean as it was when the clientarrived and immediately surrender all copies of the unit keys to a Beyond Shelter staff. _____ (Initials)House RulesI acknowledge that I have read and understood the attached House Rules and agreed tocomply with the provisions therein. _____ (Initials)I, the undersigned, understand that the violation of any of the rules and guidelines setdown in this document constitutes grounds for immediate termination from this programand/or eviction from this property. I acknowledge that the terms of our stay are to bereviewed every 30 days. I understand that I will not be able to stay at the apartment formore than120 days. Furthermore, I understand that we must vacate the premises on orbefore the discharge date. I will notify Beyond Shelter staff within 24 hours prior tovacating the unit.__________________________ ___________________________Print Name (Client) Print Name (Crisis Case Manager)__________________________ ___________________________Signature Signature__________________________ ___________________________Date DateLast updated 1/20/2011 Page 3
  4. 4. Emergency Shelter Services HOUSE RULESMoving: Moving in and out of an apartment is to be accomplished between the hours of8:00 a.m. and 5:00 p.m.Parking: Automobiles shall be parked only in the designated parking areas orappropriate street parking.Trash Containers: Please place your trash in the containers and break down largeobjects, such as cardboard cartons. Please help us keep your area clean and neat.Walkways: Walkways are for pedestrian use. No skate boarding, bicycling or coasterriding is allowed on the walkways. Please help keep the walkways clear of toys, etc. Usethe walkways and don’t take short cuts.Alterations: No alterations of any kind are permitted without written consent of BeyondShelter e.g., painting, wall papering, etc. Small nails may be used to hang pictures. Donot use tape of any type on the walls, shelf paper shall be removable. Do not use“contact paper” or adhesives of any type.Washing Machines: No additional clothes washing machines, dishwashing machines,or clothes dryers are permitted in the apartments.Cable Television: No Cable television is allowed including digital, satellite or any otherkind.No Posting: The posting of signs, notices, etc, on the premises is not allowed.Noise: No client will make or allow to be made any disturbing noises upon the premisesby himself/herself, his/her family, nor permit anything to be done by such persons thatwill interfere, with the rights, comforts, or convenience of other tenants. No client shallplay upon or allow to be played upon, any musical instrument or operate or allow to beoperated a record player, stereo equipment, radio, or television in the premises betweenthe hours of 10:00 p.m. and the following 8:00 a.m., if the same shall disturb or annoyother occupants of the development. No client shall conduct or permit to be conductedany vocal or instrumental practice, nor give, nor permit to be given, vocal or instrumentalinstruction at an time. Please be considerate of your neighbors.Locks: No client shall alter any lock or install a new lock or knocker on any door of thepremises without the written consent of Beyond Shelter; if consent is given, and ifinstalled, they shall not be removed. If consent is given, the client shall provide BeyondShelter with a key for the use of Beyond Shelter. All door keys must be returned prior tothe client vacating the premises.Pets: No pets of any kind are permitted in the apartment or upon the premises.Maintenance: Request for routine maintenance should be made to and only to theMLA Coordinator or your Case Manager.Last updated 1/20/2011 Page 4
  5. 5. Outward Appearance: Any planned alteration that will affect the apartmentcommunity’s outward appearance, such as installing your own draperies, must beapproved by Beyond Shelter in writing. 1. No foil, sign advertisements , poster, or similar display, except burglary prevention notices, shall be affixed to any door, window or exterior wall , so as to be visible from the outside of the building by other guests. 2. Garbage cans, milk bottles, brooms, mops, cardboard boxes, and similar articles are to be kept inside the apartment and out of view. 3. Towels, rugs, clothing, and other similar articles are not to be hung from windows, railings, or balconies. 4. Guests shall not erect any external television or radio antenna or satellite dish.In accordance with the Short-Term Housing client agreement, these house rules nowbecome part of your client agreement.Beyond Shelter______________________ ______________________ ___________Authorized Representative Head of Household Date______________________ ______________________ ___________Date Head of Household Date ______________________ ___________ Head of Household DateLast updated 1/20/2011 Page 5
  6. 6. Date: ______/______/______ Beyond Shelter Beyond Shelter elte TARGETED EMERGENCY SHELTER SERVICES PROGRAM Address Short-Term Housing (MLA) Agreement _________________________________ Unit #___________ Phone Number (____)_______________ Head of Household _______________________________________________ Other Adults _______________________________________________ Children _____________________ _____________________ _____________________ _____________________ _____________________ _____________________ Any requests and/or complaints regarding the unit are to be made only to your Beyond Shelter Case Manager and/or MLA Coordinator. _____ (Initials) Emergencies: Emergencies affecting the premises should be promptly reported to Beyond Shelter. Emergencies occurring after office hours should be phoned to the emergency number (323-393-6915). Guests are cautioned to use discretion in reporting emergencies after office hours as, ONLY ABSOLUTE emergencies (ie, health & safety issues, flood, fire, sanitation problems) will receive attention after regular hours. _____ (Initials) Client Responsibilities • The apartment and surrounding property must be maintained in a reasonably clean and orderly manner at all times. Your Case Manager will be conducting an apartment inspection on a weekly basis. Beyond Shelter reserves the right to make unannounced visits to the above referenced property. _____ (Initials) • The apartment must be secured and locked at all times. Last updated 1/20/2011 Page 1
  7. 7. _____ (Initials)• Guests (anyone not listed on your case) are not permitted in the unit at anytime for any reason. _____ (Initials)• Clients agree to comply with all Beyond Shelter rules and regulations, and to follow their case management plan. _____ (Initials)• The above mentioned client (s) are financially responsible for any and all damages that occurs during their stay. _____ (Initials)• All furniture provided for the client as indicated on the move in check list should not be removed from the premise upon vacating the unit. Clients should treat all furniture and household items with care and respect. _____ (Initials)• There is absolutely no smoking of any kind in the MLA unit _____ (Initials)• As the legal guardian of the children the client maintains all responsibility for the safety and well being of their children. _____ (Initials)• No dependant children are permitted to be unsupervised in the client’s unit or around the premises of the apartment building. _____ (Initials)Vacating PremisesBECAUSE THIS RESIDENCE IS SHORT-TERM HOUSING, ALL OF THE ABOVEMENTIONED PERSONS UNDERSTAND THAT, AS GUESTS AT THIS ADDRESS,THEY HAVE NO RIGHTS AS TENANTS UNDER FEDERAL, STATE, OR LOCALORDINANCES AND THEREFORE, WAIVE ANY AND ALL RIGHTS PERTAINING TOEVICTION. _____ (Initials)In order to remain in the unit and under guest status, clients must demonstrate tenantresponsibility or risk being asked to vacate the premises. The following is a partial list ofactivities that are prohibited and are grounds for termination from the program: • Possession or use of illegal or toxic substances • Smoking of any kind in the MLA Unit • Violence or threats of violence • Illegal activities of any kind • Refusing to comply with any of the above mentioned responsibilities or the House Rules • Violation of Guest Policy _____ (Initials)Last updated 1/20/2011 Page 2
  8. 8. A 24-hour notice to vacate will be given to the above-mentioned client(s) who violatetheir guest status. If, for any reason, they do not move by the specified time, BeyondShelter reserves the right to remove personal belongings from the property at the end ofthe 24-hour notice. _____ (Initials)Upon vacating a unit the client must leave the unit as clean as it was when the clientarrived and immediately surrender all copies of the unit keys to a Beyond Shelter staff. _____ (Initials)House RulesI acknowledge that I have read and understood the attached House Rules and agreed tocomply with the provisions therein. _____ (Initials)I, the undersigned, understand that the violation of any of the rules and guidelines setdown in this document constitutes grounds for immediate termination from this programand/or eviction from this property. I acknowledge that the terms of our stay are to bereviewed every 30 days. I understand that I will not be able to stay at the apartment formore than120 days. Furthermore, I understand that we must vacate the premises on orbefore the discharge date. I will notify Beyond Shelter staff within 24 hours prior tovacating the unit.__________________________ ___________________________Print Name (Client) Print Name (Crisis Case Manager)__________________________ ___________________________Signature Signature__________________________ ___________________________Date DateLast updated 1/20/2011 Page 3
  9. 9. Emergency Shelter Services HOUSE RULESMoving: Moving in and out of an apartment is to be accomplished between the hours of8:00 a.m. and 5:00 p.m.Parking: Automobiles shall be parked only in the designated parking areas orappropriate street parking.Trash Containers: Please place your trash in the containers and break down largeobjects, such as cardboard cartons. Please help us keep your area clean and neat.Walkways: Walkways are for pedestrian use. No skate boarding, bicycling or coasterriding is allowed on the walkways. Please help keep the walkways clear of toys, etc. Usethe walkways and don’t take short cuts.Alterations: No alterations of any kind are permitted without written consent of BeyondShelter e.g., painting, wall papering, etc. Small nails may be used to hang pictures. Donot use tape of any type on the walls, shelf paper shall be removable. Do not use“contact paper” or adhesives of any type.Washing Machines: No additional clothes washing machines, dishwashing machines,or clothes dryers are permitted in the apartments.Cable Television: No Cable television is allowed including digital, satellite or any otherkind.No Posting: The posting of signs, notices, etc, on the premises is not allowed.Noise: No client will make or allow to be made any disturbing noises upon the premisesby himself/herself, his/her family, nor permit anything to be done by such persons thatwill interfere, with the rights, comforts, or convenience of other tenants. No client shallplay upon or allow to be played upon, any musical instrument or operate or allow to beoperated a record player, stereo equipment, radio, or television in the premises betweenthe hours of 10:00 p.m. and the following 8:00 a.m., if the same shall disturb or annoyother occupants of the development. No client shall conduct or permit to be conductedany vocal or instrumental practice, nor give, nor permit to be given, vocal or instrumentalinstruction at an time. Please be considerate of your neighbors.Locks: No client shall alter any lock or install a new lock or knocker on any door of thepremises without the written consent of Beyond Shelter; if consent is given, and ifinstalled, they shall not be removed. If consent is given, the client shall provide BeyondShelter with a key for the use of Beyond Shelter. All door keys must be returned prior tothe client vacating the premises.Pets: No pets of any kind are permitted in the apartment or upon the premises.Maintenance: Request for routine maintenance should be made to and only to theMLA Coordinator or your Case Manager.Last updated 1/20/2011 Page 4
  10. 10. Outward Appearance: Any planned alteration that will affect the apartmentcommunity’s outward appearance, such as installing your own draperies, must beapproved by Beyond Shelter in writing. 1. No foil, sign advertisements , poster, or similar display, except burglary prevention notices, shall be affixed to any door, window or exterior wall , so as to be visible from the outside of the building by other guests. 2. Garbage cans, milk bottles, brooms, mops, cardboard boxes, and similar articles are to be kept inside the apartment and out of view. 3. Towels, rugs, clothing, and other similar articles are not to be hung from windows, railings, or balconies. 4. Guests shall not erect any external television or radio antenna or satellite dish.In accordance with the Short-Term Housing client agreement, these house rules nowbecome part of your client agreement.Beyond Shelter______________________ ______________________ ___________Authorized Representative Head of Household Date______________________ ______________________ ___________Date Head of Household Date ______________________ ___________ Head of Household DateLast updated 1/20/2011 Page 5
  11. 11. Date: ______/______/______ Beyond Shelter Beyond Shelter elte TARGETED EMERGENCY SHELTER SERVICES PROGRAM Address Short-Term Housing (MLA) Agreement _________________________________ Unit #___________ Phone Number (____)_______________ Head of Household _______________________________________________ Other Adults _______________________________________________ Children _____________________ _____________________ _____________________ _____________________ _____________________ _____________________ Any requests and/or complaints regarding the unit are to be made only to your Beyond Shelter Case Manager and/or MLA Coordinator. _____ (Initials) Emergencies: Emergencies affecting the premises should be promptly reported to Beyond Shelter. Emergencies occurring after office hours should be phoned to the emergency number (323-393-6915). Guests are cautioned to use discretion in reporting emergencies after office hours as, ONLY ABSOLUTE emergencies (ie, health & safety issues, flood, fire, sanitation problems) will receive attention after regular hours. _____ (Initials) Client Responsibilities • The apartment and surrounding property must be maintained in a reasonably clean and orderly manner at all times. Your Case Manager will be conducting an apartment inspection on a weekly basis. Beyond Shelter reserves the right to make unannounced visits to the above referenced property. _____ (Initials) • The apartment must be secured and locked at all times. Last updated 1/20/2011 Page 1
  12. 12. _____ (Initials)• Guests (anyone not listed on your case) are not permitted in the unit at anytime for any reason. _____ (Initials)• Clients agree to comply with all Beyond Shelter rules and regulations, and to follow their case management plan. _____ (Initials)• The above mentioned client (s) are financially responsible for any and all damages that occurs during their stay. _____ (Initials)• All furniture provided for the client as indicated on the move in check list should not be removed from the premise upon vacating the unit. Clients should treat all furniture and household items with care and respect. _____ (Initials)• There is absolutely no smoking of any kind in the MLA unit _____ (Initials)• As the legal guardian of the children the client maintains all responsibility for the safety and well being of their children. _____ (Initials)• No dependant children are permitted to be unsupervised in the client’s unit or around the premises of the apartment building. _____ (Initials)Vacating PremisesBECAUSE THIS RESIDENCE IS SHORT-TERM HOUSING, ALL OF THE ABOVEMENTIONED PERSONS UNDERSTAND THAT, AS GUESTS AT THIS ADDRESS,THEY HAVE NO RIGHTS AS TENANTS UNDER FEDERAL, STATE, OR LOCALORDINANCES AND THEREFORE, WAIVE ANY AND ALL RIGHTS PERTAINING TOEVICTION. _____ (Initials)In order to remain in the unit and under guest status, clients must demonstrate tenantresponsibility or risk being asked to vacate the premises. The following is a partial list ofactivities that are prohibited and are grounds for termination from the program: • Possession or use of illegal or toxic substances • Smoking of any kind in the MLA Unit • Violence or threats of violence • Illegal activities of any kind • Refusing to comply with any of the above mentioned responsibilities or the House Rules • Violation of Guest Policy _____ (Initials)Last updated 1/20/2011 Page 2
  13. 13. A 24-hour notice to vacate will be given to the above-mentioned client(s) who violatetheir guest status. If, for any reason, they do not move by the specified time, BeyondShelter reserves the right to remove personal belongings from the property at the end ofthe 24-hour notice. _____ (Initials)Upon vacating a unit the client must leave the unit as clean as it was when the clientarrived and immediately surrender all copies of the unit keys to a Beyond Shelter staff. _____ (Initials)House RulesI acknowledge that I have read and understood the attached House Rules and agreed tocomply with the provisions therein. _____ (Initials)I, the undersigned, understand that the violation of any of the rules and guidelines setdown in this document constitutes grounds for immediate termination from this programand/or eviction from this property. I acknowledge that the terms of our stay are to bereviewed every 30 days. I understand that I will not be able to stay at the apartment formore than120 days. Furthermore, I understand that we must vacate the premises on orbefore the discharge date. I will notify Beyond Shelter staff within 24 hours prior tovacating the unit.__________________________ ___________________________Print Name (Client) Print Name (Crisis Case Manager)__________________________ ___________________________Signature Signature__________________________ ___________________________Date DateLast updated 1/20/2011 Page 3
  14. 14. Emergency Shelter Services HOUSE RULESMoving: Moving in and out of an apartment is to be accomplished between the hours of8:00 a.m. and 5:00 p.m.Parking: Automobiles shall be parked only in the designated parking areas orappropriate street parking.Trash Containers: Please place your trash in the containers and break down largeobjects, such as cardboard cartons. Please help us keep your area clean and neat.Walkways: Walkways are for pedestrian use. No skate boarding, bicycling or coasterriding is allowed on the walkways. Please help keep the walkways clear of toys, etc. Usethe walkways and don’t take short cuts.Alterations: No alterations of any kind are permitted without written consent of BeyondShelter e.g., painting, wall papering, etc. Small nails may be used to hang pictures. Donot use tape of any type on the walls, shelf paper shall be removable. Do not use“contact paper” or adhesives of any type.Washing Machines: No additional clothes washing machines, dishwashing machines,or clothes dryers are permitted in the apartments.Cable Television: No Cable television is allowed including digital, satellite or any otherkind.No Posting: The posting of signs, notices, etc, on the premises is not allowed.Noise: No client will make or allow to be made any disturbing noises upon the premisesby himself/herself, his/her family, nor permit anything to be done by such persons thatwill interfere, with the rights, comforts, or convenience of other tenants. No client shallplay upon or allow to be played upon, any musical instrument or operate or allow to beoperated a record player, stereo equipment, radio, or television in the premises betweenthe hours of 10:00 p.m. and the following 8:00 a.m., if the same shall disturb or annoyother occupants of the development. No client shall conduct or permit to be conductedany vocal or instrumental practice, nor give, nor permit to be given, vocal or instrumentalinstruction at an time. Please be considerate of your neighbors.Locks: No client shall alter any lock or install a new lock or knocker on any door of thepremises without the written consent of Beyond Shelter; if consent is given, and ifinstalled, they shall not be removed. If consent is given, the client shall provide BeyondShelter with a key for the use of Beyond Shelter. All door keys must be returned prior tothe client vacating the premises.Pets: No pets of any kind are permitted in the apartment or upon the premises.Maintenance: Request for routine maintenance should be made to and only to theMLA Coordinator or your Case Manager.Last updated 1/20/2011 Page 4
  15. 15. Outward Appearance: Any planned alteration that will affect the apartmentcommunity’s outward appearance, such as installing your own draperies, must beapproved by Beyond Shelter in writing. 1. No foil, sign advertisements , poster, or similar display, except burglary prevention notices, shall be affixed to any door, window or exterior wall , so as to be visible from the outside of the building by other guests. 2. Garbage cans, milk bottles, brooms, mops, cardboard boxes, and similar articles are to be kept inside the apartment and out of view. 3. Towels, rugs, clothing, and other similar articles are not to be hung from windows, railings, or balconies. 4. Guests shall not erect any external television or radio antenna or satellite dish.In accordance with the Short-Term Housing client agreement, these house rules nowbecome part of your client agreement.Beyond Shelter______________________ ______________________ ___________Authorized Representative Head of Household Date______________________ ______________________ ___________Date Head of Household Date ______________________ ___________ Head of Household DateLast updated 1/20/2011 Page 5
  16. 16. Date: ______/______/______ Beyond Shelter Beyond Shelter elte TARGETED EMERGENCY SHELTER SERVICES PROGRAM Address Short-Term Housing (MLA) Agreement _________________________________ Unit #___________ Phone Number (____)_______________ Head of Household _______________________________________________ Other Adults _______________________________________________ Children _____________________ _____________________ _____________________ _____________________ _____________________ _____________________ Any requests and/or complaints regarding the unit are to be made only to your Beyond Shelter Case Manager and/or MLA Coordinator. _____ (Initials) Emergencies: Emergencies affecting the premises should be promptly reported to Beyond Shelter. Emergencies occurring after office hours should be phoned to the emergency number (323-393-6915). Guests are cautioned to use discretion in reporting emergencies after office hours as, ONLY ABSOLUTE emergencies (ie, health & safety issues, flood, fire, sanitation problems) will receive attention after regular hours. _____ (Initials) Client Responsibilities • The apartment and surrounding property must be maintained in a reasonably clean and orderly manner at all times. Your Case Manager will be conducting an apartment inspection on a weekly basis. Beyond Shelter reserves the right to make unannounced visits to the above referenced property. _____ (Initials) • The apartment must be secured and locked at all times. Last updated 1/20/2011 Page 1
  17. 17. _____ (Initials)• Guests (anyone not listed on your case) are not permitted in the unit at anytime for any reason. _____ (Initials)• Clients agree to comply with all Beyond Shelter rules and regulations, and to follow their case management plan. _____ (Initials)• The above mentioned client (s) are financially responsible for any and all damages that occurs during their stay. _____ (Initials)• All furniture provided for the client as indicated on the move in check list should not be removed from the premise upon vacating the unit. Clients should treat all furniture and household items with care and respect. _____ (Initials)• There is absolutely no smoking of any kind in the MLA unit _____ (Initials)• As the legal guardian of the children the client maintains all responsibility for the safety and well being of their children. _____ (Initials)• No dependant children are permitted to be unsupervised in the client’s unit or around the premises of the apartment building. _____ (Initials)Vacating PremisesBECAUSE THIS RESIDENCE IS SHORT-TERM HOUSING, ALL OF THE ABOVEMENTIONED PERSONS UNDERSTAND THAT, AS GUESTS AT THIS ADDRESS,THEY HAVE NO RIGHTS AS TENANTS UNDER FEDERAL, STATE, OR LOCALORDINANCES AND THEREFORE, WAIVE ANY AND ALL RIGHTS PERTAINING TOEVICTION. _____ (Initials)In order to remain in the unit and under guest status, clients must demonstrate tenantresponsibility or risk being asked to vacate the premises. The following is a partial list ofactivities that are prohibited and are grounds for termination from the program: • Possession or use of illegal or toxic substances • Smoking of any kind in the MLA Unit • Violence or threats of violence • Illegal activities of any kind • Refusing to comply with any of the above mentioned responsibilities or the House Rules • Violation of Guest Policy _____ (Initials)Last updated 1/20/2011 Page 2
  18. 18. A 24-hour notice to vacate will be given to the above-mentioned client(s) who violatetheir guest status. If, for any reason, they do not move by the specified time, BeyondShelter reserves the right to remove personal belongings from the property at the end ofthe 24-hour notice. _____ (Initials)Upon vacating a unit the client must leave the unit as clean as it was when the clientarrived and immediately surrender all copies of the unit keys to a Beyond Shelter staff. _____ (Initials)House RulesI acknowledge that I have read and understood the attached House Rules and agreed tocomply with the provisions therein. _____ (Initials)I, the undersigned, understand that the violation of any of the rules and guidelines setdown in this document constitutes grounds for immediate termination from this programand/or eviction from this property. I acknowledge that the terms of our stay are to bereviewed every 30 days. I understand that I will not be able to stay at the apartment formore than120 days. Furthermore, I understand that we must vacate the premises on orbefore the discharge date. I will notify Beyond Shelter staff within 24 hours prior tovacating the unit.__________________________ ___________________________Print Name (Client) Print Name (Crisis Case Manager)__________________________ ___________________________Signature Signature__________________________ ___________________________Date DateLast updated 1/20/2011 Page 3
  19. 19. Emergency Shelter Services HOUSE RULESMoving: Moving in and out of an apartment is to be accomplished between the hours of8:00 a.m. and 5:00 p.m.Parking: Automobiles shall be parked only in the designated parking areas orappropriate street parking.Trash Containers: Please place your trash in the containers and break down largeobjects, such as cardboard cartons. Please help us keep your area clean and neat.Walkways: Walkways are for pedestrian use. No skate boarding, bicycling or coasterriding is allowed on the walkways. Please help keep the walkways clear of toys, etc. Usethe walkways and don’t take short cuts.Alterations: No alterations of any kind are permitted without written consent of BeyondShelter e.g., painting, wall papering, etc. Small nails may be used to hang pictures. Donot use tape of any type on the walls, shelf paper shall be removable. Do not use“contact paper” or adhesives of any type.Washing Machines: No additional clothes washing machines, dishwashing machines,or clothes dryers are permitted in the apartments.Cable Television: No Cable television is allowed including digital, satellite or any otherkind.No Posting: The posting of signs, notices, etc, on the premises is not allowed.Noise: No client will make or allow to be made any disturbing noises upon the premisesby himself/herself, his/her family, nor permit anything to be done by such persons thatwill interfere, with the rights, comforts, or convenience of other tenants. No client shallplay upon or allow to be played upon, any musical instrument or operate or allow to beoperated a record player, stereo equipment, radio, or television in the premises betweenthe hours of 10:00 p.m. and the following 8:00 a.m., if the same shall disturb or annoyother occupants of the development. No client shall conduct or permit to be conductedany vocal or instrumental practice, nor give, nor permit to be given, vocal or instrumentalinstruction at an time. Please be considerate of your neighbors.Locks: No client shall alter any lock or install a new lock or knocker on any door of thepremises without the written consent of Beyond Shelter; if consent is given, and ifinstalled, they shall not be removed. If consent is given, the client shall provide BeyondShelter with a key for the use of Beyond Shelter. All door keys must be returned prior tothe client vacating the premises.Pets: No pets of any kind are permitted in the apartment or upon the premises.Maintenance: Request for routine maintenance should be made to and only to theMLA Coordinator or your Case Manager.Last updated 1/20/2011 Page 4
  20. 20. Outward Appearance: Any planned alteration that will affect the apartmentcommunity’s outward appearance, such as installing your own draperies, must beapproved by Beyond Shelter in writing. 1. No foil, sign advertisements , poster, or similar display, except burglary prevention notices, shall be affixed to any door, window or exterior wall , so as to be visible from the outside of the building by other guests. 2. Garbage cans, milk bottles, brooms, mops, cardboard boxes, and similar articles are to be kept inside the apartment and out of view. 3. Towels, rugs, clothing, and other similar articles are not to be hung from windows, railings, or balconies. 4. Guests shall not erect any external television or radio antenna or satellite dish.In accordance with the Short-Term Housing client agreement, these house rules nowbecome part of your client agreement.Beyond Shelter______________________ ______________________ ___________Authorized Representative Head of Household Date______________________ ______________________ ___________Date Head of Household Date ______________________ ___________ Head of Household DateLast updated 1/20/2011 Page 5

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