To submit this referral form to Threshold Housing Society, please fill in as much information as possible and then press the send button at the bottom of the page. Please note, Threshold Housing Society provides safe housing and support services only for youth and young adults ages 16 to 24 years old up until their 25th birthday. We have only a limited number of pet friendly apartments. To contact the intake department, please email intake@thresholdhousing.ca.

Agency Application Form

  • Referrer Information:

  • Youth Information:

  • (she/he/they/etc)
  • Youth Supports

  • References

    Please provide two references who can speak to this youth's character, including mental health and current living situation. The references would preferably be: a) a professional counsellor, social worker, outreach worker, school counsellor, teacher, etc., b) a family reference; c) an employer or co-worker
  • Please note, this Release of Information will remain active for one year from the date submitted.
  • Thank you!

    We will be in contact with you soon.
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