Submit Your Housing Inquiry
Complete this short form and our team will reach out within one business day to discuss availability and next steps.
Full Name
*
Phone Number
*
Email
*
example@example.com
Age Range
*
21-30
31-40
41-50
50 or Older
Preferred Method of Contact
*
Email
Phone
Text
Are you a Veteran
*
Yes
No
What type of room are you interested in
*
Shared Room ($750-$850)
Private Room ($1,200 Limited Availability)
What is your preferred location
*
Do you have verifiable monthly income
*
Yes
No
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
*
Our homes are for independent adults. Participants must be able to manage daily living needs without medical or personal assistance.
Are you comfortable with Independent living
*
Yes
No
Do you have any case worker, agencies, or organizations assisting you? If yes, please list their name and contact if available.
*
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
How did you hear about Onyx Group Atlanta
*
Referral
Shelter or agency
Online search
Social media
Facebook
Veteran organization
Other
What is your anticipated move-in date
*
As soon as possible
Within two weeks
Within thirty days
Three months or more
Other
Best time of day to contact you
*
Morning
Afternoon
Evening
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.
SMS Terms & Conditions Product Description By providing your mobile phone number, you consent to receive SMS messages from ONYX GROUP ATLANTA related to housing availability. Message Frequency may vary. Message and Data Rates Standard message and data rates may apply. Opting Out You may opt out of receiving SMS messages at any time by replying with "STOP" to any SMS message you receive from us. After opting out, you will receive a confirmation message, and we will cease sending SMS messages to your number. Help and Support If you need assistance or have questions about our SMS service, reply with "HELP" to any SMS message you receive, or contact our customer support team at info@onyxgroupatl.com. Privacy Policy Your phone number will be handled in accordance with our Privacy Policy, available at https://www.onyxgroupatl.com/privacy-policy. No mobile information will be shared with third parties/affiliates for marketing/promotional purposes. All the above categories exclude text messaging originator opt-in data and consent; this information will not be shared with any third parties.
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