Online Application

Waiting Lists:

Listed below are the waiting lists for this housing authority.

Please click "Apply" for your desired waiting list which is currently open to continue the application process.

Name	Available Bedrooms	Status

Waiting List Pre-Qualification Questions:

Please answer all of the questions which are listed below.

Based on the provided pre-qualification question answers, you are not eligible for this waiting list at this time.

Your attachments are being uploaded

Your application has been sent!

This is your current waiting list Control Number:

Print or save a screenshot of this page for your records.

This is your registration code for the submitted application:

This code can be used to create a new account or add to an existing account.

Registration codes will expire after 60 days.

An account can be used for:

Updating contact information
Updating your application
Messaging with the Housing Authority
Exchanging documents
Viewing the status of your application

Bedroom Sizes:

Preferred Size:

Household Information:

Please include information for all household members, including children under age 18.

If a household member qualifies for reasonable accommodation due to a disability, please select "Yes" for "Has Disability".
If no Social Security number, use all 9's.

Waiting List Preferences (please select all that apply):

The owner/agent places households in units based on the date and time the completed application is received and the household’s eligibility for preference. Please indicate if you qualify for the preferences indicated below.

Waiting List Questions:

Please answer all of the questions which are listed below.

Reasonable Accommodation:

A reasonable accommodation is a change, exception, or adjustment to a program, service, building, dwelling unit, or workplace that will allow a qualified person with disability to: participate fully in a program, take advantage of a service, live in dwelling, or perform a job.

Applicants with disabilities that need a reasonable accommodation in order to participate in the application process or to make effective use of the housing program, have the right to request such an accommodation.

Needs Accommodation:

Answer:

Yes

Explain:

Add Gross Annual Income (Before Taxes):

In order to determine eligibility and to ensure that your family receives the correct assistance, please provide the following information. Please provide the total amount of gross annual income (before taxes) for all family members from all sources.

Pension:

SSI:

Wages:

Social Security:

TANF:

Unemployment:

Child Support:

Other Non-Wage:

Residence Information:

If your household is currently living in a residence, please fill in the information below.

Move-In Date:

Rent / Own:

Rent

Own

Rental Amount:

Residence Address:

Address Line 1:

Unit:

Address Line 2:

Zip Code:

City:

State:

Reason you're looking to move:

Landlord Information:

If your household is currently living in a rented residence, please include contact information for the current landlord.

Landlord Name:

Landlord Phone #:

Landlord Address:

Address Line 1:

Unit:

Address Line 2:

Zip Code:

City:

State:

References:

Please include any information for verifiable references for the household in the area below.

Reference 1 Name:

Relation:

Phone #:

Reference 2 Name:

Relation:

Phone #:

Reference 3 Name:

Relation:

Phone #:

Contact Information:

To ensure we are able to contact you, please include your contact information below.

Primary Mailing Address is required, other contact information is optional.

Primary Phone #:

Secondary Phone #:

Email Address:

Primary Mailing Address:

Address Line 1:

Unit:

Address Line 2:

Zip Code:

City:

State:

Secondary Mailing Address:

Address Line 1:

Unit:

Address Line 2:

Zip Code:

City:

State:

Agreement:

Current Date: