Submit Your Housing Inquiry
Tell us a little about your housing needs. This form takes only a few minutes, and our team will follow up within one business day.
A safe place to call home should never feel out of reach.
Whether you're searching for yourself or helping someone you care about, we're here to make the next step feel simple and supported.
1. About You
Let's start with a few basics so we know who we're helping and how best to reach you.
Who are you completing this form for?
*
Myself
A family member or friend
Someone I support professionally
Your Name
*
Your Relationship to the Participant
*
Full Name
*
Age Range
*
Under 50
50 to 59
60 to 69
70 or older
Are you a Veteran?
*
Yes
No
Phone Number
*
Preferred Method of Contact
*
Email
Phone
Text
Email
*
example@example.com
Which room option are you interested in?
*
Shared room, starting at $800 per month
Private room, starting at $1,200 per month, limited availability
Would you consider a shared room if a private room is unavailable or outside your budget?
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Yes
No
All rooms are fully furnished and include utilities and WiFi.
Are you open to available ONYX GROUP ATLANTA locations in Metro Atlanta?
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Yes
No
What type of room are you interested in?
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Shared Room ($750-$850)
Private Room ($1,200 Limited Availability)
What is your preferred location
*
Best time of day to contact you
*
Morning
Afternoon
Evening
What is your anticipated move-in date?
*
As soon as possible
Within two weeks
Within thirty days
Three months or more
Other
I agree to receive communications by text message regarding housing availability, placement updates, referral coordination, and program information from ONYX GROUP ATLANTA. You may opt out by replying STOP or ask for more information by replying HELP. Message frequency varies. Message and data rates may apply. You may review our
Privacy Policy
to learn how your data is used.
I consent
3. Financial Readiness
Age Range
*
21-30
31-40
41-50
50 or Older
2. Housing Preferences
Do you have verifiable monthly income
*
Yes
No
Will a family member, agency, or other sponsor help with monthly housing costs?
*
Yes
No
Unsure
Which statements describe your mobility? Select all that apply.
*
I move independently without assistance
I use a wheelchair
I use a walker or cane
I have difficulty with stairs
Other
Type of Income (Check all that apply)
*
SSI
SSDI
Employment Income
VA Benefits
Retirement or Pension
Other
Estimated Monthly Income
*
What is your monthly housing budget
*
4. Independent Living and Support
Our homes are for independent adults. Participants must be able to manage daily living needs without medical or personal assistance.
Are you able to manage your daily living needs independently without medical or personal assistance?
*
Yes
No
How is your mobility inside and outside the home
*
I move independently without assistance
I use a wheelchair
I use a walker or cane
I have difficulty with stairs
Other
Is anyone currently helping you with housing?
*
Yes
No
Support Contact Name
Support Organization
Support Contact Phone
Please enter a valid phone number.
Format: (000) 000-0000.
Do you have any case worker, agencies, or organizations assisting you? If yes, please list their name and contact if available.
*
5. Final Details
How did you hear about ONYX GROUP ATLANTA?
*
Referral
Shelter or agency
Online search
Social media
Facebook
Veteran organization
Other
Additional notes or questions
Thank you for reaching out. Someone from our team will contact you within one business day to discuss availability and next steps. We look forward to speaking with you.
ONYX GROUP ATLANTA
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Current Availability
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678 337 2209
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