Northwest Indiana Structured Living Initiative
Take the Next Step

Apply for Housing or Submit a Referral

Select the form that applies to your situation. Read the description carefully — each form is for a different audience. All submissions are reviewed individually by our team.

For Individuals & Adults

Housing Application

If you are an adult seeking supportive housing or structured living support in Northwest Indiana, complete this form to begin the eligibility review process. This form is for individuals applying on their own behalf.

Adults 18 years or older
Veterans seeking stable housing
Seniors needing housing support
Former foster youth
Adults experiencing housing instability
Reentry participants
Start Housing Application
For Partner Agencies & Case Managers

Agency Referral Form

This form is for case managers, social workers, hospitals, shelters, VA programs, reentry programs, and other partner agencies referring an individual for housing support. Do not use this form if you are applying for yourself — use the Housing Application above.

Case managers & social workers
Hospital discharge planners
VA program staff
Shelter & reentry program staff
Community corrections officers
Faith-based partner organizations
Submit Agency Referral
Income Certification

Zero Income Certification

For applicants who currently have no income and need to certify their income status for eligibility review. This form is required in addition to the Housing Application when you have no current income. Complete both forms if this applies to you.

Applicants with no current income
Individuals awaiting benefits approval
Adults between employment
Must complete alongside housing application
Complete Zero Income Certification
Service Area Notice

NWISLI primarily serves Northwest Indiana and surrounding communities. Applicants from outside this region may still apply, but placement priority is given to local applicants, and out-of-region placement is subject to housing availability and partner coordination. If you are located more than 60 miles from Gary, IN, please contact NWISLI before submitting to confirm program fit.

Important notice: Submitting a form does not guarantee approval or placement. Eligibility is reviewed case by case and depends on availability, documentation, safety review, and program fit. Background screening and property rules may apply. Housing availability may vary.
Be Prepared

What to have ready

Having the following documents available may help expedite the eligibility review process.

Government-issued photo ID
Social Security card
Proof of income or benefits (if applicable)
Emergency contact information
Background screening authorization
Any relevant housing history or referral documentation

Additional documentation may be requested during the eligibility review. Contact NWISLI directly at 219-343-9573 with any questions.

Have questions about the application process?

Contact Jasmine Johnson directly for case-specific questions about eligibility, documentation, or housing availability.