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Senior Housing Pre-Application

PRE-APPLICATION (Senior Housing)

CHOOSE A LOCATION:
Bedroom Choice
1 Bedroom
2 Bedroom

HEAD OF HOUSEHOLD NAME: (required)

Date of Birth
Month
Day
Year
Sex
Male
Female
Choose Proof of Identification
Driver's License
State I.D.
Other

CURRENT ADDRESS: (required)

Multi-line address
Please list any STATES where you have previously lived:
Are you currently living in subsidized housing?
Are you required to give a 30-day vacancy notice?
Yes
No
Are you a full-time student?
Yes
No

CO-HEAD OF HOUSEHOLD:

Date of Birth
Month
Day
Year
Sex
Male
Female
Choose Proof of Identification
Driver's License
State I.D.
Other

CURRENT ADDRESS: (required)

Multi-line address
Please list any STATES where you have previously lived:
Are you currently living in subsidized housing?
Are you required to give a 30-day vacancy notice?
Yes
No
Are you a full-time student?
Yes
No
DO YOU REQUIRE A HANDICAP UNIT? (required)
Yes
No
TYPE OF RENT OPTIONS: (required)
I have a Housing Choice Voucher.
I am applying for the Income Based (subsidized) program.
I am applying for a Market Rent unit (regular rent).
HOW DID YOU HEAR ABOUT US?
Facebook
Instagram
Google Search
Company Website
Referral from current tenant
Referral from an agent
Post Card Mailer
Walk In / Drive By
Other
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