Program Application

The program application gives us information about you, your interests and your needs. The information helps us evaluate resources you might need and referrals the program might be able to make outside of Jeremiah Program.

Much of this information is confidential and may be used by us to determine how to best serve your needs and those of your family. If you are uncomfortable with any question, you may omit answering it. You may also contact the Admission Coordinator’s office at 651-332-5017 for more information about any question or how this information is used.

Applications are reviewed as received. Please understand that our program is not an emergency shelter. Those families that meet the applicant criteria may be invited for an interview. After completion of the interview, candidates may be invited to participate in the pre-admissions process including a 16-week Personal Empowerment training course, pre-admissions coaching and documentation collection. Pre-admission participation is a requirement for acceptance to the program. Upon successful participation in pre-admissions, an applicant may be invited to an admissions interview. The admissions decision is final. Actual admission for housing is based on unit availability/occupancy. Jeremiah Program reserves the right to close applications at any time.

Minneapolis St. Paul Online Program Application

All applicants are subject to a criminal background check (a criminal record of convictions that would affect the health, safety, or well-being of the other residents, or the staff or the viability of the property will be a basis for rejection), income verification, and urinalysis testing

In order for an applicant to be considered, you must hold a high school diploma or a GED
In order for an applicant to be considered, you must be accepted or enrolled in a post-secondary educational program accredited through The Higher Learning Commission (please refer to our List of Approved Post-Secondary Institutions)
In order for an applicant to be considered, you must have been a resident of Minnesota for a minimum of 2 years
In order for an applicant to be considered, you must be a single mother at least 18 years of age
In order for an applicant to be considered, all children must be under the age of 5 years at the time of application
Thank you for your interest in Jeremiah Program but at this time we are only accepting applications which meet all of our criteria. If you have any questions or are in need of additional resources, feel free to contact our Admissions Coordinator at 651-332-5017.

Applicant Information

Applicants may indicate a preference for either the Minneapolis or Saint Paul campus; however, there is no guarantee that preferences will be honored. Please check your preference below.
Include: Apartment, Suite or Unit #
*Long-term homelessness is defined as someone lacking a permanent place to live continuously for one year or more, or at least four times in the past three years or less. This can include staying in a shelter, a place not meant for habitation (e.g., a vehicle, an abandoned building, bus/train station/airport or anywhere outside), or couch hopping.
Enter your contact info and indicate whether we can contact you using the information you entered.
You may enter more than one if necessary

Children's Information

Current children in the household:

Custody Arrangement


Income Information

In order for an applicant to be considered, you must meet income requirements:
What are your current monthly sources of income?

Educational Information

* Please keep in mind that in order to qualify, you must be accepted to or enrolled at a postsecondary institution (seeking either an associate’s or a bachelor’s degree) that is accredited by the Higher Learning Commission and on our List of Approved Post-Secondary Institutions (can be found on our website).

Health Information

Why Jeremiah Program?