Housing Application | Calm Waters Independent Living

Choose your path

How can we help?

Both paths enter the same Calm Waters dashboard. Choose the one that matches who is completing this request.

Continue a saved application

Step 1 of 7

Contact information

Tell us the best way to reach you about your request.

Step 2 of 7

Housing needs

Help us understand the type of housing request and timing.

Desired move-in timing

Housing arrangement

Veteran status (optional)

Applicant

Current housing situation

Step 3 of 7

Shared living preferences

These questions help us understand privacy, roommate, and everyday household preferences. Your answers are used for room-placement planning and are not used to determine whether someone qualifies for housing.

If placed in a shared bedroom, what roommate arrangement would feel most comfortable?

How important is this preference?

Usual sleep schedule

Preferred quiet level

Smoke, fragrance, or scent exposure

Cleanliness and shared chores

Privacy and social style

Kitchen habits

Guest comfort level

Accessibility or privacy needs for shared living (optional)

Anything else about bedroom, roommate, or shared-living preferences? (optional)

Placement note: Roommate preferences are considered when assigning shared bedrooms but do not guarantee a particular room, roommate, or housing placement. Calm Waters applies the same housing eligibility standards regardless of sex, sexual orientation, or gender identity or expression.

Step 4 of 7

Independent-living fit

Calm Waters is non-medical housing. We ask these questions to confirm the setting may be appropriate.

Can the applicant manage personal care independently?

Can the applicant manage medications independently?

Can the applicant prepare simple meals and manage daily routines?

Can the applicant make emergency decisions or call for help?

Step 5 of 7

Funding & affordability

A verifiable payment plan is required before move-in. This request does not create a financial obligation.

Housing payment source

Monthly funding range

Agency, payer, or funding notes (if applicable)

Step 6 of 7

Safety & support

This helps us prepare for a respectful screening conversation.

Emergency contact name

Emergency contact phone

Support person or caseworker (if different)

Transportation needs

Accommodations or information you want staff to know

Step 7 of 7

Review & submit

Review the information below. Your application is reviewed by staff; it is not an approval or bed reservation.

Information collector: Mercurial Solutions LLC, operator of the Calm Waters Independent Living program. Review our Privacy Policy and Terms and Program Policies.

I understand Calm Waters is non-medical independent living and does not provide hands-on personal care, medication management, treatment, or emergency shelter. I confirm the information is accurate and consent to Calm Waters contacting the applicant about this housing request.

Application received

You’re finished.

Your housing request is now in the Calm Waters dashboard for the recorded eligibility lane and staff workflow.

Your application ID

Current status
Received

Your application was received.

A confirmation email will be sent when email delivery is available. Submission does not guarantee placement or a bed.

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