For a period of 15 months, from November 1, 2017, until February 15, 2019, The The Alex received funding in part by the Government of Canada's Homelessness Partnering Strategy’s Innovative Solutions to Homelessness to create and pilot the innovative Pre-pre-employment Program (PEP) for high acuity, formerly homeless individuals in The Alex’s Housing First programs. This report describes the activities and results of the pilot and may help to guide others who may wish to pursue a housing first employment program. PEP provides participants with supports to prepare them for re-entry into the workforce while managing other issues (physical health, mental health, and substance abuse issues).