Refer A Client To T.U.R.E.M.'s

ILH Housing Program

Use this form to refer a client for independent living placement.

Please complete all fields on behalf of your client. You'll receive a confirmation once submitted, and we'll follow up within 1-3 business days.

READ BEFORE INQUIRYING.

Our homes provide fully furnished, all-inclusive shared housing designed for adults seeking a stable, structured living environment.

✔ Shared bedrooms and common spaces
✔ Utilities, WiFi, furnishings, linens included
✔ Newly remodeled homes with house rules

This is NOT:
❌ Private apartments
❌ Emergency housing
❌ Subsidized or income-based rent

Inquirers must have verifiable monthly income and be comfortable living in a shared home.

Today's Date *

Referral Partner Information

i.e. housing coordinator, case manager, discharge planner,

parole officer, VSO, social worker, etc

RP First Name *

RP Last Name *

RP Title/Role *

RP Organization/Agency *

RP Phone *

RP Email *

ILH - RP - Have you referred clients to us before? *

Client Information

This is the person you are referring for housing.

Client First Name *

Client Last Name *

Client Phone *

If your client has a phone, we'll reach out to them directly. If not, we'll coordinate through you.

Client Email

This is very helpful with ongoing communication with client.

Client Date of Birth *

Used to create a unique record for your client.

ILH - RP - How Are You Connected To This Client/Individual *

Housing Details

ILH - RP - Move In Timeframe *

ILH - RP - Housing Expectation *

Client Eligibility

Our homes require verifiable monthly income of at least $850/month.

Please confirm before submitting.

ILH - RP - Income Source *

Select all that apply.

ILH - RP - Income Status *

ILH - RP - Monthly Income Range *

ILH - RP - Smoker *

Our homes are strictly non-smoking & non-vapor indoors & on the premises. Please answer honestly - This helps us ensure a good fit for everyone. We have a housing partner network who may can place your client, if we can't.

ILH - RP - Animals *

Our homes are strictly pet-free.

Animal Details

Please provide as much details as possible.

Additional Context

ILH - RP - Does your client have a phone or device they can be reached on? How should we coordinate this referral? *

Additional Information

Additional Notes

By checking this box, I consent to receive non-marketing text messages from The Ultimate Real Estate Management about housing availability, placement status, and account updates at the phone number provided. Message frequency varies. Message & data rates may apply. Reply HELP for help, reply STOP to opt out.

By checking this box, I consent to receive marketing and promotional text messages, including special offers and program updates, from The Ultimate Real Estate Management at the phone number provided. Message frequency varies. Message & data rates may apply. Reply HELP for help, reply STOP to opt out.

ILH - RP - Shared Living Attestation *

I am referring a client who understands this is structured shared housing and not a private unit.

ILH - RP - All-Inclusive Attestation *

I am referring a client who understands that shared housing pricing reflects fully furnished, all-inclusive living and is different from unfurnished or basic room rentals.