For shared housing and/or Georgia Street Cabins and/or Emergency Housing Vouchers
For inquiries about other rental properties, please contact Mountain Homeless Coalition at: Email Address: PropMgt@mtnhomeless.com or Phone: (909) 713-4099
CO-APPLICANT’S PERSONAL INFORMATION (if applicable)
OTHER OCCUPANTS’ INFORMATION (if applicable)
Please list your three most recent addresses or from past five years
Please indicate your answer for the following questions:
I/We declare that the information I/we have provided is true and correct, and contain no misrepresentations.
Reasonable Accommodation: If you or a member of your family have a disability and think that you might need or want a reasonable accommodation, you may request it at any time.