Common use of Consent for Services Clause in Contracts

Consent for Services. I agree to participate in the Region 16 housing program and understand it is a program that consists of a combination of financial assistance and supportive services. I understand the ultimate goal of the program is for each participant to be able to maintain their own independent permanent housing in the future. I agree to actively participate in housing search, maintain monthly appointments, and will submit required program documentation. I understand that I may withdraw from the program at any time, and agree to meet with Case Manager to close my household’s case. I further understand, non-compliance with program requirements will result in termination from this program. Participant Name: __________________________________________ Date: __________ Participant Signature __________________________________________ Date: __________

Consent for Services. I agree to participate in the Region 16 housing program and understand it is a program that consists of a combination of financial assistance and supportive services. I understand the ultimate goal of the program is for each participant to be able to maintain their own independent permanent housing in the future. I agree to actively participate in housing search, maintain monthly appointments, and will submit required program documentation. I understand that I may withdraw from the program at any time, time and agree to meet with Case Manager to close my household’s case. I further understand, non-compliance with program requirements will result in termination from this program. Participant Name: __________________________________________ Date: __________ Participant Signature __________________________________________ Date: __________

Consent for Services. I agree to participate in the Region 16 housing program and understand it is a program that consists of a combination of financial assistance and supportive services. I understand the ultimate goal of the program is for each participant to be able to maintain their own independent permanent housing in the future. I agree to actively participate in housing search, maintain monthly appointments, and will submit required program documentation. I understand that I may withdraw from the program at any time, and agree to meet with Case Manager to close my household’s case. I further understand, non-compliance with program requirements will result in termination from this program. Participant Name: Name __________________________________________ Date: __________ Participant Signature __________________________________________ Date: __________

Consent for Services. I agree to participate in the Region 16 housing program and understand it is a program that consists of a combination of financial assistance and supportive services. I understand the ultimate goal of the program is for each participant to be able to maintain their own independent permanent housing in the future. I agree to actively participate in housing search, maintain monthly appointments, and will submit required program documentation. I understand that I may withdraw from the program at any time, time and agree to meet with Case Manager to close my household’s case. I further understand, non-compliance with program requirements will result in termination from this program. Participant Name: Name __________________________________________ Date: __________ Participant Signature __________________________________________ Date: __________