Housing Urban Management

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Preapproval Survey

How did you hear about us? *

First Name *

Last Name *

Phone *

Email *

What best describes your current housing situation? *

What is the name of the program that will provide the rent subsidy? *

How many bedrooms are you looking for? *

What is your source(s) of income? *

What is your gross monthly income? *

$

How will the security deposit be paid? *

How many years of rental history do you have? *

Have you had an eviction filed against you in the past 7 years? *

Do you have a rental reference you can share at a later time? *

Did you see a specific rental we shared online? *

Are you looking for a house only, or would you consider an apartment as well? *

How many steps are you comfortable climbing? *

Which laundry options would work for you? *

# Adults *

How many adults will be living in the household?

Age of adult(s) *

# Children *

How many children or dependents will be living in the household?

Do you have any pets? *

How soon are you looking to move? *

How many units have you seen so far? *

What best describes your current living situation? This helps us avoid showing you housing that may feel like a step backward. *

Does anyone in the household require a larger bedroom due to age, size, or existing furniture? *

Why are you moving? *

Is there anything your current housing provider could do that would make you want to stay? *

We’ll be contacting your current or most recent housing provider. What will your they say when we contact them for a rental reference. *

If you’re comfortable, can you share a bit about your background—such as your work history, education, family, or anything you’re proud of—that represents who you are today?

Would you be open to enrolling in a program that takes the rent directly from your paycheck if that was a condition of getting approved? *

Are you working with a Case Manager? *

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Case Manager Information

First name case manager

Last name case manager

Case Manager mobile

Case Manager email

Preapproval Survey

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