MATTHEW 25 – PRE-APPLICATION
Date________________ Are you a Veteran? Yes ______ No _______
*Phone __________________________
Name _______________________________________
Date of Birth __________________________
Social Security # _______________________________
Race _________
Age __________________________
Referral Agency _______________________________ Current Residency _____________________________________
Where did you sleep last night? ________________________________________________________________________
How many times have you been homeless in the past 3 years? ______ 1 ______2 ______3 _______ 4 _______ 5
*************
Place of Employment _____________________________________ Term? ___________________________________
Employment Address __________________________________________ Phone ______________________________
Full-time Position? Yes____ No ____ Hours/week ______ Contact Person __________________________________
How much do you make an hour? ____________ per month__________ Next Payday ___________________________
Do you receive: SSI _____ SSDI _____ Pension/Retirement ______ Social Security ______? How Much? __________
Have you applied for any of the benefits listed above? Yes ______ No ______ When? _______________________
Have you been in an alcohol or drug treatment program? Yes _____ No ______ How many times? ______________
When? _______________________
Where? __________________________________________________________
Drug of choice? ________________
Last time you drank or used? _________________________________________
****PROGRAM FEES****
NON-VETS
$300 PROGRAM FEE CHARGED AT END OF 60-90 PERIOD.
IF THE CLIENT EXITS BEFORE THIS TIME-FRAME, A PRORATED FEE WILL BE CHARGED. IF YOU HAVE QUESTIONS
PLEASE ADDRESS THEM WITH YOUR CASE MANAGER.
VETERANS
$0 PER WEEK FOR MONTHS 1-3
$0 PER WEEK FOR MONTH 4 (GRACE PERIOD)
$25/WEEK FOR MONTH 5
$50/WEEK FOR MONTH 6
$75/WEEK FOR MONTH 7
CLAUSE: Each case may be individualized in certain situations.
We will make that determination.
We require 4 specific things at Matthew 25: save your money, go to meetings, complete chores, & exit M-25.
The target of savings is $1000.00 in a 60 day period, saving 75% of your income after legal obligations.
You must attend 5 meetings a week for the first month, 4 the second month, and 3 the third month until
exit.
Chores must be completed each day without fail; if there would be a conflict with your work schedule you
need to advise Alvin Myles immediately.
I WILL DEPOSIT 75% OF MY MONEY AFTER LEGAL OBLIGATIONS HAVE BEEN MET, ATTEND MEETINGS,
COMPLETE CHORES, AND EXIT MATTHEW 25 AT THE END OF THE 3-4 MONTH PROGRAM.
Signature ___________________________________________
Date _______________________________
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POLICIES AT MATTHEW 25
PURPOSE
Matthew 25 provides transitional housing and supportive services to homeless men who have the potential to establish
self-sufficiency. The program is 90-120 days. SELF-SUFFICIENCY means that the person has job stability, good living
skills, and enough money saved to move into “appropriate” permanent housing. Evaluations are made as needed for
each resident to determine length of stay. *See Progress Reviews Below*
AUTOMOBILES
Purchasing an automobile is discouraged. The use of required savings to purchase one will not be approved.
WORK
Matthew 25 is for the “working” homeless. To remain at Matthew the person must be full-time employed. If during his
stay he loses his job, he must aggressively seek new employment each workday. Unemployed persons are required to
be out of the building during the day looking for work. We ask for verification that this has been done. We do have a
Job Lead Sheet that will need to be filled out showing all contacts in your job search. A two week time period is given to
find employment.
SCHOOL
Anyone going to school while in our program at Matthew 25 must work at least 20 hours.
SPENDING PLAN
One must be completed each time a deposit is made. This helps determine whether or not the resident is saving his
money as agreed. A copy of a pay stub is required with each deposit and also receipts from bills or spending for
miscellaneous items. “Under the table” work, where no pay stub is given, does not qualify as a full-time job, which is
required for a resident to remain at Matthew 25.
LEARNING
Homelessness is not always caused by lack of jobs or available housing. Many past residents have not been able to keep
jobs and remain in housing. They lacked critical life skills to address personal problems and learning to live
independently.
OVERNIGHT REQUEST LEAVE
A client has to be here in residency for 30 days before permission and be in compliance with all regulations before
given a weekend pass.
*PROGRESS REVIEWS*
TWO WEEK REVIEWS
Each resident will be given a two-week review by the staff to determine whether or not they are “right” for Matthew 25.
This means that the resident with a full-time job/retirement/social security pay will make at least a 75% deposit from
their income. It means that the individual is complying with all the policies of Matthew 25.
30-DAY REVIEWS
Every 30 days, the progress of each resident will be evaluated. We will look at your deposits, work history, meeting
sheets, chore list, while you are living at Matthew 25. If the staff determines that you are not serious, you will not be
allowed to stay a full 60 days. If you are serious about changing your life and your actions prove this, there is no need to
be concerned at review time. Only those who comply with the policies here at Matthew 25 will continue in the
program.
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BUDGET SHEET
NAME ______________________________________________
DATE __________________________________
If you are accepted into the Matthew 25 Program, you will have to save your money by depositing 75% of
your income after required legal obligations and you will have to remain alcohol and drug free.
YOUR RESPONSE TO THE FOLLOWING WILL GIVE US AN IDEA OF YOUR ABILITY TO MAKE THE REQUIRED 75%
DEPOSIT.
CURRENT INCOME
1. Full-Time Job ____________________________
Company Name
Monthly Net Pay ________________________
A
2. Part-Time Job ___________________________
Company Name
Monthly Net Pay ________________________
B
3. SSI or SSDI
Monthly Income ________________________
C
___________________________
OTHER INCOME – (Please indicate)
*(Add A-C)*
Total Monthly Income ________________________
CURRENT MONTHLY OBLIGATIONS
1. Payments to wife (Alimony)…………………………………………………………..D ________________________
2. Child–support payments………………………………………………………………...E ________________________
3. Court fines………………………………………………………………………………………F ________________________
4. Other required obligations…………………………………………………………….. G ________________________
_______________________________________________________H ________________________
_______________________________________________________I ________________________
_______________________________________________________J ________________________
_______________________________________________________K ________________________
5. Transportation………………………………………………………………………………..L ________________________
TOTAL MONTHLY OBLIGATIONS (Add together D-L)
________________________
MONEY AVAILABLE TO SAVE – INCOME minus OBLIGATIONS
________________________
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