• Lasko Refuge Tenant Application

  • Personal Information

  •  - -
  • Date of Birth*
     - -
  • Do you have a valid Drivers License?*
  • Expiration Date
     - -
  • Do you have have a car?*

  • Demographic Information

  • Emergency Contact

  •  - -

  • Eligibility Requirements

  • To ensure a safe and supportive environment for residents in recovery, Lasko Refuge does not accept registered sex offenders, basing this policy on resident safety, community concerns, program integrity, and legal considerations while complying with applicable laws and offering alternative placement options.

  • Are you a registered sex offender?*

  • Probation/Parole

  • Do you have a Probation or Parole Officer?*
  • Format: (000) 000-0000.

  • Employment Information

  • Are you currently employed?*
  • Date Started*
     - -

  • Recovery Information

  • Substance(s) of Choice*
  • Sober/Last Used Date*
     - -

  • Payment Information

  • How will your rent be paid?*
  • Format: (000) 000-0000.

  • Tenancy Information

  • Desired Move-In Date*
     - -

  • Agreement & Signature

  • Acknowledgements

    Move-in date and house of interest are subject to availability, you may be asked if you're interested in another one of our Lasko Houses.

    By submitting this rental application, you confirm that all the information provided is accurate and complete to the best of your knowledge. 

  • Date of application
     - -

  • Lasko Refuge is unable to accept individuals who are currently registered as sex offenders.

  • At Lasko Refuge, the safety and well-being of all residents is our highest priority. This policy supports our commitment to maintaining a safe and supportive recovery environment and is based on resident safety, community considerations, program requirements, and applicable legal considerations.

    Because of this policy, your application will not move forward for placement at Lasko Refuge. We understand that finding appropriate housing and recovery support is important, and we encourage you to explore alternative housing and recovery programs that may be able to accommodate your circumstances.

    If you have questions about this decision or need assistance understanding your next steps, please contact the Lasko Refuge team at admin@laskorefuge.org.

    Thank you again for your honesty and for considering Lasko Refuge.

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