Van Wagenen I Pre-Qualification Application

Pre-Qualification Application

Van Wagenen I
The below is a pre-qualification application which is the first step in the process when applying to become a resident in our community. Should you meet the initial criteria, this application will grant you placement on the community's Waitlist. Should an apartment which fits your eligibility and criteria be available, this information will be used to run your credit screening and background reports. If your pre-qualified application is approved, the property management team will contact you to complete another application and to request the submission of all necessary documentation and information.

Do you need an interpreter? Our communities will provide one at no cost to you.

¿Necesita un intérprete? Nuestras comunidades le proporcionarán uno sin costo alguno para usted.

You may also copy and paste the URL of this webpage to Google Translate for further automated translations of this document in other languages if your web browser has not automatically already done so: https://translate.google.com/?sl=auto&tl=es&op=translate

Paper applications are available on-site at the community should you prefer not to submit an electronic form. All information submitted is kept secure and is only shared with select third party partners for screening and verification purposes. We will never sell your information nor will it be used for solicitation.
Time*

Hour Minutes

AM/PM Option
Application Date*

MonthDayYear
Date
First Name*
Last Name*
Date of Birth*

MonthDayYear
Date
Application Number
Address Line1*
Address Line 2
City*
State*
Two Letter Abbreviation
Zip Code*
First Choice Bedroom Size*
SecondChoiceBedroomSize
ThirdChoiceBedroomSize
CurrentBuildingNumber
CurrentUnitNumber
WaitList
OtherImpaired
Social Security Number
Needed for Background Check and Stored in Secure LocationFormat: 000-00-0000.
Phone Number*
Format: 000-000-0000.
NeedsMobilityAccessibleUnit
NeedsHearingAccessibleUnit
NeedsVisionAccessibleUnit
MarketRenter
Do you qualify for a disability preference? (If yes, type X in this box and an X in the new selections below. If no then leave blank)
MobilityImpaired (type X if yes, leave blank if no)
VisionImpaired (type X if yes, leave blank if no)
HearingImpaired (type X if yes, leave blank if no)
IncomeStatus
What is your total gross annual income including any bonuses, tips, and overtime?*
YesNo
EmploymentSocial Security or SSIWelfareUnemploymentChild SupportOther
YesNo
YesNo
Please identify any special housing needs that may be required by you or any of the members in your household

List each person in your household including yourself. This information will be added to the property's waiting list.

Rows	Last Name	First Name	Birth Date	Sex	Relationship To You	Annual Income	Social Security Number	Student Status F or P/T
Individual
Individual
Individual
Individual
Individual

WhiteAfrican AmericanAmerican Indian/Alaskan NativeNative Hawaiian/Pacific IslanderAsianDecline to Report
HispanicNot HispanicDecline to Report
Please upload an image of your photo identification card.
I have read and understand the document.
Email*
example@example.com
I/We hereby certify that I/We do/will not maintain a separate subsidized rental unit in another location. I/We further certify that this will be my/our permanent residence. I/We understand I/We must pay a security deposit for this apartment prior to occupancy. I/We understand that our eligibility for housing will be based on applicable income limits and by management’s selection criteria. I/We certify that all information in this application is true to the best of my/our knowledge and I/We understand that false statements or information are punishable by law and will lead to cancellation of this application or termination of tenancy after occupancy. I/We further consent to have the Owner/Management Agent verify all of the information contained in this Rental Application as well as my/our credit, landlord, criminal background and personal references. Any conditional offers based on criminal record must be explained in writing their justification for doing so and will be accompanied by using the Disclosure Statement on DCR's website, found at https://www.njoag.gov/wp-content/uploads/2021/12/Model-Disclosure-Statement_12.14.21.pdf. Applicants may request the information the housing provider relied upon and can submit mitigating infraction or inaccuracies related to aspects of their criminal record which may bey considered under the FCHA, which the housing provider must then consider.
Signature Applicant #1 (Adult 18+)*

Clear
Signature Applicant #2 (Adult 18+)

Clear
Signature Applicant #3 (Adult 18+)

Clear
Signature Applicant #4 (Adult 18+)

Clear
Should be Empty: