Shared Housing Waiting List Form
Please fill out this form to apply for shared housing accommodation.
Rightful Joy Independent Living is a flat-level home with no stairs, offering safe and smooth wheelchair access throughout the main living areas, making it especially convenient for seniors and members with mobility challenges.
Full Name
First Name
Last Name
Email Address
example@example.com
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
What is your current living situation?
How old are you?
Preferred Move-in Date
-
Month
-
Day
Year
Date
Rightfyul Joy Independent Housing require an administrative fee and first month rent to enter the Program. Are you able to provide requirements to move-in?
What is the best time and way to contact you to process the next step?
Preferred Room Type
Single Bedroom Monthly range $1000-$1200
Shared Bedroom Monthly $750-$850
Here at Rightful Joy Independent Living requires a source of income. Please check all that apply to you. Please have proof of income.
SSI/SSDI
VA Benefits
Private Pay
Employment
Other
Any special requirements or preferences?
Do you have kids that need to move in with you?
Yes
NO
Are you Independent? Motility limitations? Please disclose below.
Signature
Continue
Continue
Should be Empty: