YWCA Jamestown Empower Her Housing
Transitional Housing Program Referral Form
Basic Admission Criteria
Single women and women with up to 2 children.
Applicant Must be over 18
Male children must be under 12 years of age
Must be homeless or at-risk of homelessness upon entry
Submit the completed form to: Jacqueline Cook, legacyhouse@ywcajamestown.com. For more information, call 716-488-2237 x 247