Panama City Rescue Mission

    Client Screening

    Gateway Life Transformation Program

    WE ARE NOT A HOMELESS SHELTER.
    We reserve the right to refuse intake upon arrival if you do not disclose all medical or mental issues during this pre-interview screening.

    Bed Fees are $154 per week. Background Checks will be performed. Any assault or battery for the past 5 years automatically disqualifies an individual for our Program. Any child-related charges also will disqualify your entrance into our Facility. All incoming residents will be under a mandatory 2-week probationary period.

    Personal Information

    Gender

    Background Screening

    Have you stayed with us before?

    Are you running from domestic violence?

    Have you ever been arrested for battery, domestic violence, assaults, or any violence against children?

    Are you on probation?

    Do you currently pay child support?

    Health & Personal Care

    Can you pass a drug screening?

    Have you ever had a substance abuse problem?

    Are you Disabled?

    Are you in a wheelchair?

    Do you walk with a cane or walker?

    Do you have incontinence or wear adult diapers?

    Are you able to shower, dress, and take care of all personal needs without assistance from others?

    Are you able to climb on a top bunk?

    Employment & Income

    Do you currently work?

    Do you have any form of income?

    Identification & Current Situation

    Do you have your own vehicle?

    Do have a Florida ID/Drivers License?

    Do you currently receive Florida Food Stamps?

    Do you have a Social Security Card?

    Do you have a Florida Birth Certificate?

    Do you have Children?

    If so, are they with you?