Do yo uknow someone who might be a good fit as a resident in Howard House? Please fill out the form below to send SDBIF your Howard House Residency request. Contact Person's InformationFirst Name *Last Name *Email Address *Phone Number *Contact Preference *Please select an optionEmailPhoneEither works for mePreferred Time of Day to be Contacted *Please select an optionMorning: 8am-12pm (PST)Afternoon: 12am-3pm (PST)Evening: 3pm-7pm (PST)Potential Howard House Resident's InformationFirst Name *Last Name *Gender Identification *Please select an optionMaleFemaleNon-binaryPotential Resident's Age *Requested move-in date *Is the potential resident diabetic? *Yes, Type IYes, Type IINo, not diabeticDoes the potential resident need assistance from an ambulatory aide? (i.e. wheelchair, walker, cane, AFO) *YesNoWhat is the level of care needed for the potential resident? (i.e. help with using the restroom, taking a shower, feeding, etc.) * *What are you and the potential resident looking for in an assisted living home environment? *Are you and the potential resident comfortable working with male and female caregivers? *Yes, either is fineNo, only female caregiversNo, only male caregivers Send Message