• Client Form:

    Please complete this web intake in its entirety. If you have any questions or are in need of assistance, please contact the office at 518-293-5045.

  • About You:

    Please provide some details about you and how to best reach you.
  •  /  / Pick a Date





  •  /  / Pick a Date





  • Contact

    How can we best contact you?
  •  -
  •  -



  • Your household:

    Please provide details about your household size, demographics, and income. Don't forget to include yourself when counting household members!!
  •  

  • *Gross income is what the income is before any deductions (like taxes, health insurance, retirement, etc.)
    *Net income is what the income is after all deductions (also referred to as "take home" - this is the amount you receive in your bank account or via check.)

  • Property Information:

    Some details about where you live.

  • More Information:

    Some details about your living situation and needs.










  •  -









  • If there is someone you'd like us to contact on your behalf if we are unable to reach you, please leave their contact information below:

  • Budget

    If you are interested in having a counselor help you with any of the above affordable housing needs, please complete the budget below. For annual expenses, divide by 12 to get the monthly amount. If you need help, leave it blank and a counselor will call you to discuss.
  •  
  •  
  •  
  •  
  •  
  •  
  •  
  •  
  •  
  •  
  •  /  /
    Pick a Date  :
  • Should be Empty: