Preliminary Application
Income Qualification & Waitlist Registration
Name
*
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Total Number of Adults, 18 and over:
*
Number of Children under 18:
*
When are you looking to move?
-
Month
-
Day
Year
Date
Bedroom Size Requested:
*
1-Bedroom Unit
2-Bedroom Unit
Are you Elderly?
*
Yes
No
Do you own pets?
*
Yes - Not Certified
Yes - Certified SA/ESA
No
Total estimated yearly income for everyone in your household before taxes, when combined:
*
Will this be your only place of residence?
*
Yes
No
Will you take an apartment when one is available?
*
Yes
No
*Do you currently receive, or are you enrolled in, any rental assistance or housing subsidy program? (Examples include Section 8, RAP, Person-to-Person, Domestic Violence programs, church or community assistance, or any other subsidy that helps pay rent.
*
Yes
No
If yes, please explain:
*
Student Status:
*
Full-Time
Part-Time
Not a Student
Legal Residency Status in the U.S.
U.S. Citizen/Green Card Holder (lawful permanent resident)
Valid U.S. Worker Permit Holder (More than 12 Months)
Other
Please explain:
*Please check off if you or a family member in your household have any of the following assets listed below:
Checking or Direct Deposit Accounts
Certificate of Deposit
Other Retirement Funds
Mutual Funds
Life Insurance
Savings Accounts
IRA
Stocks or Bonds
Trust Accounts
Real Estate
Digital Wallets/Mobile Payment Apps (i.e. PayPal, Venmo, CashApp, Apple Pay, etc.)
Please provide any additional information about your application and interest in applying for housing:
Please verify that you are human
*
Submit
Should be Empty: