New Leaf Legacy Living Tenant Application
Apply for membership in our shared housing program. Please answer all questions honestly to help us determine if our community is a good fit for you.
Property Information
Please provide details about the property you are applying for.
Property Name
*
Property Address
*
Personal Information
Tell us about yourself.
Full Legal Name
*
First Name
Last Name
Date of Birth
*
-
Month
-
Day
Year
Date
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Email Address
*
example@example.com
Government-Issued ID Type
*
Driver’s License
State ID
Other
ID Expiration Date
*
-
Month
-
Day
Year
Date
Current Living Situation
Tell us about your current housing situation.
Where are you currently living?
*
With family/friends
Temporary housing
Shelter
Hotel/Airbnb
Other
Why are you seeking housing at this time?
*
How soon do you need housing?
*
Immediately
Within 30 days
Flexible
Expected length of stay
*
1–3 months
3–6 months
6–12 months
Unsure
Employment, Income & Support
Provide information about your employment and sources of support.
Are you currently employed?
*
Yes
No
Employer Name (if employed)
Position (if employed)
Length of Employment (if employed)
Do you receive any of the following? (Check all that apply)
SSI
SSA
VA Benefits
Internship or stipend
Other fixed income
Are you working with a case manager or organization?
*
Yes
No
Organization/Agency Name (if working with one)
Case Manager Name (if applicable)
Housing Compatibility & Community Living
Help us understand your fit for shared living.
Do you have reliable monthly income to meet housing obligations?
*
Yes
No
Are you comfortable living in a shared home environment?
*
Yes
No
Do you agree to follow house rules, cleaning schedules, and quiet hours?
*
Yes
No
Lifestyle & Safety Questions
Your answers help ensure a safe and compatible community.
Do you smoke (including vaping)?
*
Yes
No
Do you have any pets?
*
Yes
No
If yes to pets, please explain:
Have you ever been removed from housing for rule violations or safety concerns?
*
Yes
No
If yes, please explain briefly:
Do you have any history of violent or unsafe behavior?
*
Yes
No
Note: We may conduct internal safety reviews to protect our community.
Emergency Contact
Please provide emergency contact information.
Emergency Contact Name
*
First Name
Last Name
Relationship to Emergency Contact
*
Emergency Contact Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Membership Acknowledgment & Consent
Please read and acknowledge each statement below.
Member Signature
*
Date
*
-
Month
-
Day
Year
Date
Submit Application
Submit Application
Should be Empty: