Rental Support Application 🏠

Rental Support Application 🏠

Our current priority for funding is for our Eagan immigrant neighbors that have been impacted by the recent Operation ICE Metro Surge. Provide your details and request assistance for housing needs. This data is only for Eagan Community Foundation use. It will not be shared with any government entity.
Basic Information
Full Name*

First NameLast Name
Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Email Address*
example@example.com
Address
What is your current address?*

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Household
How many people live in your household? (Include adults and children)*
Situation
RentingStaying with friends/familyFacing evictionOther
Need
RentDepositUtilitiesOther
Do you have a lease or bill with your name on it?
Can we pay landlord directly? If not, what's the best name to put on the check? Please email copy of lease (if you have one) to jamie.hopkins@eaganfoundation.org
Amount
How much assistance are you requesting? (in USD)*
Is this for one month? Two months?
When is the due date?
What Happened
Please briefly describe your situation and what led to this need. Please indicate if/how the recent Operation ICE Metro Surge impacted your situation:*
If support is provided, what will your plan look like for covering rent in the coming months?
Other Support
YesNo
If yes, please list the organizations you've applied to in recent months. Write whether you've been denied or received help and in which months.
Landlord Information (Optional)

We won't contact landlord without letting you know first.
Landlord Name
Landlord Phone or Email
Should be Empty:

Rental Support Application 🏠

Basic Information

Address

Household

Situation

Need

Amount

What Happened

Other Support

Landlord Information (Optional)