OneHome Eligibility Matrix Program Information Question Title * 1. Agency Name Question Title * 2. Structure Type Site Based Scattered Site Based Question Title * 3. Location of Program (specific city, specific county or regional) Question Title * 4. Program Name Question Title * 5. Program Type Permanent Supportive Housing Rapid Rehousing Transitional Housing Safe Haven Emergency Shelter Question Title * 6. Units / Slots Total # Question Title * 7. Program Fees Yes No If yes, please list $ amount Question Title * 8. Special Necessary Documentation 8% of survey complete. Next