Housing Program Questionnaire
Thank you for your interest in ReNew Housing Solutions. This application is the first step toward being considered for our affordable, all-inclusive shared housing program. Completing this form helps us learn more about your housing needs and determine eligibility.Please note: Submitting an application does not guarantee placement. All applications are reviewed carefully, and housing is offered based on eligibility, availability, and compliance with program guidelines.
How did you hear about us?
Personal Info
Full Name
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First Name
Last Name
Date of Birth
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Day
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Month
Year
Phone Number
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Enter a valid phone number for communication.
Anticipated Move In Date:
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Month
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Day
Year
Date
Email Address
Enter a valid email address for communication.
What is your current living situation?
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What is your source of income? What is your housing budget?
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Do you have a criminal history?
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Yes
No
If yes, please explain:
Do you have any current medical conditions? Please explain:
*
Are you working with or under any housing or management companies? If yes, who?
*
Do you have accessibility needs? Please explain:
*
Emergency Contact:
*
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Submission
Signature
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