Partners in Opportunity Application

OPEN RESPONSE QUESTIONS

Please be thorough in your responses to give yourself the best chance of being selected. Your response should be at least three sentences in length.
Tell us the story of your life. (Where are you from? What was your childhood like? What relationships have been important in your life--for good or bad reasons? What successes have you had? What challenges have you faced? How has being a parent changed your life?)*
Please list the top three reasons why you decided to apply.*
What goals do you have for your children?*

VOUCHER INFORMATION
Which housing authority administers your voucher?*
Do you have a Walker voucher or a traditional voucher?*
Please list the name of your housing authority.*
What is the bedroom count on your current voucher?*
In what month and year did you first receive a Section 8 voucher?*
Example: July 2017
Please list all individuals who are listed on your voucher. Please include your children and their ages.*
Example: Jane Doe; Tiara McGee (daughter-6); Michael McGee (son-2)
Not yet.I have applied to the housing authority to relocate, but it is still in process.I have applied for and received my relocation voucher. The clock on my voucher search period has started.Not applicable - this will be my first time to ever use a voucher.I'm confused by this question / not sure what you mean by that.
When does your voucher search period expire? (When do you need to use the voucher by?)*
Example: September 15, 2024
Yes, I can get an extension to my search period.No, I do not qualify for any additional extensions to my search period.I'm not sure.

CURRENT LANDLORD INFORMATION

In this section we're going to ask you a few questions about your current landlord.
In a rental in my own nameStaying with familyStaying with friends or a partnerAt a shelterHomeless
Is your lease month-to-month?*
When does your lease end?*
What date do you need to leave your current living situation (ex. when you need to leave your family member's house, etc.)*
How many days notice is required to terminate your lease?*
What is the earliest that you can move?*
YesNo

RENTAL HISTORY

Please provide a complete history of everywhere you have lived over the past 7 YEARS, including rentals in your own name, time spent living with family or friends, and any time spent living in a shelter or transitional housing. If you are completing the application on your cell phone, please make sure to scroll to the right to ensure you complete all fields.
Please be sure to go back a full 7 years and fill in all blanks in rows that you complete. An incomplete rental history chart will delay the processing of your application. Please make sure to scroll to the right to ensure you complete all fields.

YesNo
Please list the name of each shelter and the dates you lived there.*
Example: Wings of Hope Shelter, Dallas, TX - January 2022 - February 2022
This will be my first time to rent a unit with a voucher.I have used my voucher to rent a unit for all of the past 24 months.I have used my voucher to rent a unit for part of the past 24 months.

Please explain the reasons for any late rent payments.*

Please explain the reasons for any late rent payments.*
YesNo
How much do you owe your CURRENT landlord, what is it for (ex. damage, unpaid rent, late fees), and when is the balance from (month and year)?*
Example: $150, damage charges relating to a broken window, January 2023
YesNo
How much do you owe to a PREVIOUS landlord, what is it for (ex. damage, unpaid rent, late fees), and when is the balance from (month and year)?*
Example: $150, damage charges relating to a broken window, January 2023
Have you ever been issued a formal lease violation?*
Please list each lease violation, including the year and what it was for.*
Example: I received one lease violation for noise in 2019 and another lease violation for noise in 2021.
Have you ever had property damage to a unit you rented beyond normal wear and tear?*
Please list the year, and provide us with a brief description of the damage, the dollar amount that you were charged, and if you paid for the damage or not.*
Example: In 2022, I was charged $200 to replace the window shades because they were pulled down by my dog. I paid for it at move out.
Have you ever moved out of a rental unit before the end of the lease term without the landlord's consent?*
Please list the year, and provide us with a brief description of what happened.*
Example: In 2019 I lost my job and had to walk away from a lease that had 5 months remaining due to a financial hardship.
Have you ever been evicted or been asked to move out due to non-payment of rent?*
Please list the month and year of the eviction and the name of the property and provide us with a brief description of what happened.*
Have you ever been evicted, had your lease non-renewed, or been asked to move out for a reason other than non-payment of rent?*
Please list the year and provide us with a description of what happened.*

Rows	How many times?
4 or fewer days late
5-14 days late
15-29 days late
30 or more days late

Rows	How many times?
4 or fewer days late
5-14 days late
15-29 days late
30 or more days late

EMPLOYMENT HISTORY

Please provide a complete employment history going back 5 YEARS. Please list all jobs, even if you had multiple jobs that overlapped. If you are completing the application on your cell phone, please make sure to scroll to the right to ensure you complete all fields.
Please be sure to go back a full 5 years and fill in all blanks in rows that you complete. An incomplete employment history chart will delay the processing of your application. Please make sure to scroll to the right to ensure you complete all fields.

Employment History Chart*

Rows	Name of Employer [Ex. Home Depot]	Date Job Started [Ex. 3/2022]	Date Job Ended [Ex. 9/2022]	Role [Ex. Cashier]	Manager Info Name/Phone/Email [Ex. John Smith, 214-352-4777, jsmith@gmail.com]	Workplace Address [Ex. 345 Hillcrest Ave, Dallas, TX 72223]	Hours/ Week [Ex. 20/week]	Pay/Hour [Ex. $15]	Reason for Leaving
Current Employer
Prior Employer #1
Prior Employer #2
Prior Employer #3
Prior Employer #4
Prior Employer #5
Prior Employer #6
Prior Employer #7

YesNo
Please list the dates and explain the circumstances surrounding any periods of unemployment during the past 5 years.*
YesNo
Please provide details about the documented disability and how it has impacted your employment history over the past 5 years.*

EDUCATION HISTORY
YesNo

Educational History Chart - Please list any education, certification, or licensure programs that you have participated in since graduating from high school. If not applicable, please leave blank. If you are completing the application on your phone, please make sure to scroll to the right to ensure you complete all fields.

Rows	Name of School/Program	Start Date	End Date	Hours Spent per Week (Not "Credit Hours")	Program Type	Program Completed?
School or Program #1
School or Program #2
School or Program #3
School or Program #4
School or Program #5
School or Program #6
School or Program #7

Rows	How many times?
How often does the other parent come to your home to pick up or drop off your child?
How often does the other parent come to your home to spend time with you and/or your child?
How often does the other parent see your child?

Rows	How many times?
How often does the other parent come to your home to pick up or drop off your child?
How often does the other parent come to your home to spend time with you and/or your child?
How often does the other parent see your child?

Rows	How many times?
How often does the other parent come to your home to pick up or drop off your child?
How often does the other parent come to your home to spend time with you and/or your child?
How often does the other parent see your child?

Rows	How many times?
How often does the other parent come to your home to pick up or drop off your child?
How often does the other parent come to your home to spend time with you and/or your child?
How often does the other parent see your child?

SOCIAL MEDIA
What is your profile name on Facebook?*
What is your profile name on Instagram?*
What is your profile name on TikTok?*

CRIMINAL HISTORY
Partners in Opportunity's policy for assessing criminal history:

◾ PIO will only consider criminal charges that resulted in conviction.
◾ PIO will only consider convictions based on incidents that occurred after an applicant turned 18.
YesNo
Please list the criminal charge, the county/state, the date of the offense, and indicate if it was a felony or a misdemeanor.*
YesNo

FINANCIAL INFORMATION

Please list all of your sources of monthly income by type.

Should be Empty:

Rows	Type	Property Name [Ex. The Willows]	Property Address [Ex. 123 Willow Dr, Dallas, TX 75225]	Start Date [Ex. 3/15/2022]	End Date [Ex. 3/14/2023]	Landlord Name, Phone and E-mail [Ex. Bill Smith, 214-456-6789, bsmith@willows.com]	How Did You Leave?	Reason for Moving [Ex. Was in a 2 BR, but needed a 3 BR]
Current Landlord
Prior Landlord #1
Prior Landlord #2
Prior Landlord #3
Prior Landlord #4
Prior Landlord #5
Prior Landlord #6

Rows	$ / month
Employment
Gig Work (Uber, Doordash, Amazon, etc.)
SNAP
Child Support
TANF
SSI/Disability
WIC
Friend or family
Other (please list the source)

Partners in Opportunity Application

BASIC ELIGIBILITY

APPLICANT INFORMATION

SAVE YOUR APPLICATION

OPEN RESPONSE QUESTIONS

VOUCHER INFORMATION

CURRENT LANDLORD INFORMATION

RENTAL HISTORY

EMPLOYMENT HISTORY

EDUCATION HISTORY

OTHER OCCUPANTS

OTHER PARENT(S)

SOCIAL MEDIA

CRIMINAL HISTORY

FINANCIAL INFORMATION