英文回答：
Temporary Housing Base Application.
Section 1: Applicant Information.
Provide the following information about the applicant:
Name:
Date of Birth:
Social Security Number (if applicable):
住房申请书 Contact Information:
Address:
Phone Number:
Email Address:
Section 2: Household Information.
Provide the following information about the household:
Number of Household Members:
Ages of Household Members:
Income Sources and Amounts:
Any Special Needs or Circumstances:
Section 3: Eligibility Criteria.
Indicate whether the applicant meets the following eligibility criteria:
Income at or below certain thresholds.
Experiencing homelessness or at risk of homelessness.
Unable to secure permanent housing.
Willing to participate in case management and other support services.
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