Centralized Diversion Fund III - Managed by Africatown International

This information is required before funds can be dispersed.

Diversion is a Housing First, person-centered, strengths-based approach to help individuals identify the choices and solutions to end their homeless experience with limited interaction with the crisis response system.


Diversion is an approach that assists households in quickly securing permanent or temporary solutions to homelessness outside of the crisis response system by encouraging creative and cost-effective solutions to meet individual needs.


By submitting this form you are affirming that you are authorized to submit a request and are an agency staff member that has been trained by diversion coaches and approved Building Changes, the organization that provides the training.

Agency and Staff Contact Information



First and Last Name

First and Last Name



Household Information















Flex Fund Request Type and Amount




Client Information





This form is limited to 5 fund type requests per HMIS identifier (client). To add requests exceeding 5 entries, please start a new form.  



valid US dollar amount (e.g. $1.00, 100, 10.00, $1,000.00)



valid US dollar amount (e.g. $1.00, 100, 10.00, $1,000.00)



valid US dollar amount (e.g. $1.00, 100, 10.00, $1,000.00)



valid US dollar amount (e.g. $1.00, 100, 10.00, $1,000.00)



valid US dollar amount (e.g. $1.00, 100, 10.00, $1,000.00)



Payee (Who check should be made out to)
If requesting rental assistance or move in costs, please provide the payee/landlord name, mailing address and phone number. Please ensure we have the CORRECT address for payment to be sent.








Supporting documents for upload (for move in costs, must include copy of cost breakdown of move in costs)                                                                                                                                                                                                                                                  










Thank you for your request. The information you provided will be evaluated within 24-48 hours and if application approved, payment will be mailed in 5-7 business days. We will send notification of the status of your request as soon as possible.


If you have any questions please email info@africatowninternational.org or call 206-487-3222.

Contact Information