Arleen Sanchez
175-859-104-1317
Date of Submission
9/22/2025, 8:47:30 PM
Do you currently live in San Francisco?
yes
How many people are in your household? (include yourself)
2
What is your household’s current monthly income?: Please include any income from
employment (formal or informal) and cash benefits. If your income varies by month, please
provide your income from the last 30 days. (Please note, if you have savings/cash
resources that amount to three times your monthly rent, you will not be eligible for
assistance from this program.)
3500
Are you applying for assistance with past-due rent OR assistance with moving into a new
unit (security deposit, etc.)?
Assistance with past-due rent
What best describes your recent financial hardship (within the last 12 months)?*
Significant and unexpected increase in expenses (such as recent medical emergency, funeral expenses, or
roommate moved out)
Describe your recent hardship
Medical Issue
Which of the following best describe your increase in expenses? Choose all that apply.
Medical expenses
Is this increased expense one-time or ongoing?
One-time expense
How did you hear about us?
Landlord
Have you applied for and/or received rent or financial assistance since March 2020 from
any other program or resources?* This may include previous assistance from the San
Francisco Emergency Rental Assistance Program, Season of Sharing, or CA COVID-19 Rent
Relief Program. This will NOT disqualify you for additional financial help, but receiving help
from two or more programs for the same months of rent will not be permitted.
No
First Name
Arleen
lastName
Sanchez
Date of Birth (MM/DD/YYYY)
04/06/1957
Sexual Orientation
Straight/Heterosexual
Gender Identity
Female
Preferred Pronouns
She/Her/Hers
Primary Phone #
(469) 476-4438
E-mail Address
mypersonalloverboy78@[Link]
Do you need interpretation services?
no
Best time to contact
Anytime
Which best describes your race/ethnicity? (Mark ALL check boxes that apply)
American Indian/Native American
Current Address
14 Hearst Avenue
City
San Francisco
Zip / Postal code
94131
Where are you currently living?
Rental unit – Apartment, room/shared housing, or house
Do any of the above apply to your CURRENT housing situation?
no
Do you live in a rent-controlled unit?
no
Please provide the first and last names of all members of your household age 18 or older.
Arleen Lupe Sanchez
Have you had a major change of who's a part of your household (e.g., birth, divorce, death )
in past 12 months?
no
Is anyone in your household currently pregnant?
No
How many children in the household are 0-2 years old?
0
How many children in the household between the ages 3-17 years old?
1
How many people are between the ages of 18-24 years?
0
How many people are between the ages of 25-61 years?
1
How many people are 62 years or older?
0
Are you (the head of household) under the age of 25?
no
Are you or any other adult in the household a veteran?
no
Are you currently employed?
no
Are you applying for back rent on a unit you currently occupy?
yes
Do you have rental debt from a unit you no longer occupy?
no
What is (or was) your monthly rent?
2750
How much total rent do you currently owe?
8250
Number of months behind on rent (whole numbers only)?
3
What time period (months and years) do you need rental assistance for?
3
Since March 2020 have you taken on any type of debt in order to pay rent? (Reimbursement
for rent paid is not available through SF ERAP.)
no
First and Last Name of Landlord, Master Tenant, Person Who Charges You Rent, or
Management Company Contact
Bryan Smith
Landlord Address line 1
607 east short elm st
Landlord City
Boonville
Landlord State/Province/Region
IN
Landlord Zip / Postal code
47601
Landlord Primary Phone #
(385) 294-7332
Landlord E-mail
orionrichard8@[Link]
Are you applying for move-in assistance (deposit, first month’s rent, and/or last month’s
rent) for a unit you have already identified, been approved for, and intend to lease?
no
Are you being pressured to move out of your housing by your landlord, master tenant,
apartment manager, roommate or anyone else?
Yes
Has your landlord given you something in writing (a notice) that you have past-due rent?
Yes
Have you received court papers (an ‘Unlawful Detainer’) to move out of your housing? If
yes, please contact the Eviction Defense Collaborative immediately at (415) 659-9184 or
legal@[Link] and continue with this application.
No
Are you currently living in someone else’s home or apartment where you do not have a
lease?
No
Are you currently or have you ever been homeless (for example, you slept in a shelter,
outside, in your car, or another place not meant for people to sleep)?
No
Did your experience of homelessness occur in the last two years?
Yes
Was this your first time experiencing homelessness?
Yes
As an adult, have you lost your home through eviction?
No
Have you or any adult in your household been arrested or spent any time in jail or prison in
the last two years?
No
Do you or anyone in your household have a disabling condition which impacts your ability
to secure/maintain housing?
no
Have you or any adult in your household been discharged from a hospital, mental health
facility or substance abuse treatment facility in the last year?
yes
Do you or anyone in your household have or need an ITIN (Individual Taxpayer Identification
Number)?
no
If you prefer to work with a specific organization to determine whether you qualify for
assistance, please select one from the list below.
Native American Health Center
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