Let's determine your Housing Options!
Which option best describes your situation?
*
I am living in Shelter and have found a rental - Help me to apply for HomeBASE assistance
I have found a rental and need assistance - Help me with my options
I have NOT found a unit, but need help with the housing process
Other
Head of Household Name - Enter your full name as it appears on your I.D
*
What is your email address?
*
Phone Number
Please enter a valid phone number.
What's your Date of birth
*
-
Month
-
Day
Year
Date
Do you have children? only include children under 18 years who are dependent on you
*
Yes
No
Clearly type first name/last name/date of birth. of each child
*
What type of Income do you receive?
*
Income from Employment
DTA Cash
SSi
Unemployment benefits
Child support
Social Security
Disability
Other
What is your current living situation?
*
Homeless Shelter for single individual
Homeless Shelter for families
EA Hotel - EA Program
ES Program - Emergency Shelter
Friends/Family home in State
Own home - rental or mortgaged - facing eviction
Own home - need to move
Have you applied to the following:
*
YES
NO
UNSURE
Not Applicable
AHVP (through CHAMP portal)
CHAMP
Federal SECTION 8/HCVP
HomeBASE/RAFT
Income-Restricted Units
Lotteries
MRVP (via RAA website or CHAMP portal)
Project-Based Subsidized Units
TAX CREDITS/LIHTC
Workforce Units
Is this a single or joint application for housing?
Please Select
Single - I am Head of Household
Joint - myself and a Spouse
This Section will be about your Spouse
What is your Spouses full name?
*
What is their Date of birth
*
-
Month
-
Day
Year
Date
What type of Income does your spouse receive?
*
Income from Employment
SSi
Unemployment benefits
Child support
Social Security
Disability
Other
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