Client Referrals

We do not accept direct referrals from individuals/clients.

We partner with family crisis counselors and social workers to assist families who are in need of furnishings and household items. Because we hope to create permanent homes for our families, we partner with agencies that promote self sufficiency and stability.  Therefore, all clients first must be referred by a case worker from a social service agency who has been in the client's home and can verify the stability of the family. Second, the agency must be approved by Home Makers of Hope as a partnering agency. 

To be included on the list of approved agencies, please contact us below to obtain approval.

Once approved as a referring agency, the case manager must complete a separate Client Referral form for each family or individual to be referred.  Once the completed form is received, the family will be contacted to set up an appointment with a Family Liaison to determine specific needs with a home visit.  The client is to communicate to the case worker until we make the initial contact to set up a home visit. There is typically an eight to twelve week delay, depending on the length of the referral list. Referrals will be prioritized based on need.

Referral Form

* Please fill out all fields or the form will not submit.

All referrals must be submitted online as of Jan. 1, 2019 for easier tracking and proper documentation.

Please include 4-digit passcode assigned to your agency
Case Workers Phone Number *
Case Workers Phone Number
Client's Name *
Client's Name
Client's Address *
Client's Address
Please incluce the Apartment Number or Lot on Address Line 2
Client's Phone *
Client's Phone
Is the Client Bilinqual
Apartment or House *
Section-8 Housing *
i.e. returning to housing from homelessness, fire, veteran, etc.
Needs for Bedroom *
Please check all that apply
Needs for Kitchen *
Please check all that apply
Needs for Bathroom *
Please check all that apply
Needs for Living Room *
Please check all that apply
1-Has most of their furnishings and can 10- Client has no furnishings at all
Date of Submission *
Date of Submission