To apply for the YWCA Clinton Rapid Re-Housing Program please click the link below: Click to Download Application for Housing Services - or fill out the following application - Your Name (required) Your Email (required) Date Of Application Telephone Number Address Family Members Living In Household (Please start with yourself.)First Name - Last Name - Identified Gender - Relationship To Applicant - Date Of Birth - Race Family Members Not Living in household who you wish to bring into the housing unit (ie. children you do not currently have custody)First Name - Last Name - Identified Gender - Relationship To Applicant - Date Of Birth - Race Are you over 18 years of age or a legally emancipated minor? Yes No Do any of your family members have any disabilities? Yes No If so, please list below Do you have Rental Arrears? Do you have outstanding Electric Bills? Do you have outstanding Gas Bills? Do you have outstanding Water Bills? Do you have outstanding Sewer Bills?