Family Referrals

Please read and fill out all fields in the form below.

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PLEASE NOTE: Home Makers of Hope only accepts family referrals directly from case managers at approved social services agencies via the family referral form below. 

Case Managers

We partner with case managers from community agencies that promote self-sufficiency and stability for families and individuals, in the hopes of creating permanent homes for them.  A case manager may be connected with an agency that provides educational, social, medical, behavioral or mental health, housing, or financial services.  We ask that the case manager visit in the family’s home to verify the stability of the family or individual.  Home Makers of Hope must approve the referring agencies.  Please contact us at info@hmoh.org if your agency requires approval.  

Referral Process

The referral process for a family in need is as follows:

  • A case manager from a partnering social service agency initiates a family referral to Homemakers of Hope (HMOH) using the online referral form below.

  • Upon receipt, HMOH assigns the family to a volunteer team based on their Hillsborough County zip code and places the family on a pending list.

  • When the family’s turn approaches, an HMOH representative contacts the family to schedule a home visit. During this visit, our team assesses the family’s specific needs and confirms a delivery date.

  • The assigned HMOH volunteer team then delivers and sets up the furniture and household items in the family’s home.

    Until contacted directly by HMOH, the family should communicate any changes in address, phone number, or other relevant information through their case manager. Please note that due to demand, the typical wait time ranges from eight to twelve weeks, depending on the length of the referral list.

HMOH Family Referral Form

Family Referral Form

Case Manager Information
Please enter a valid first name (letters only, max 25).
Please enter a valid last name (letters only, max 25).
Agency is required.
Date cannot be in the future.
Please enter exactly 9 digits.
Please enter a valid email.
Client Information
Please enter a valid first name.
Please enter a valid last name.
Date cannot be in the future.
Please enter the parent/guardian first name.
Please enter the parent/guardian last name.
Please enter exactly 9 digits.
Please enter a valid email.
Please select a race.
Please select Yes or No.
Address
Street address is required.
Please enter a valid city name.
State is required.
ZIP must be 5 digits and in Hillsborough County.
History & Status
Please list the agencies.
Please provide name & due date.
Household
Furnishing Needs
Needs for Kitchen
Please select at least one option.
Needs for Bathroom(s)
Please select at least one option.
Needs for Living Room
Please select at least one option.
Needs for Bedroom(s)
Please select at least one option.
Select “Bed(s)” under Needs for Bedroom(s) to enable these quantities.
Total Beds Requested
0
Additional Needs / Comments