• Bloom House Living — Find Your Room

    Use this form to express interest in shared housing with Bloom House Living. Submitting this form allows us to contact you if a room becomes available. Submission does not guarantee placement or availability.

  • Section 1 — Contact Information

  • Format: (000) 000-0000.

  • Section 2 — Location & Room Preference

  • City Preference? (Select all that apply)*

  • Section 3 — About You

  • Do you smoke?*
  • Do you have pets?*

  • Section 4 — How Did You Find Us

  • Section 5 — Optional Priority Placement

  • If you select a payment option a secure payment link will be sent to you after your application has been reviewed and approved. Payment is not collected through this form.

  • Section 6 - Disclaimer

  • Important Information — Please Read Before Submitting


    Submission of this form does not guarantee housing placement, approval, or availability. All occupancy decisions are based on current availability and standard eligibility criteria. Housing is governed by a License to Occupy Agreement and does not create a landlord-tenant relationship.


    Bloom House Living operated by JDE Housing Solutions provides housing only and does not offer medical care, treatment, or case management.


    Optional Payment — First Come First Served: 

    Priority placement and bed reservation fees are optional and available to all applicants equally.
    $300 Community Fee: reserves a specific available bed. Non-refundable.
    $500 Priority + Reservation: secures your place at the top of the waitlist plus reserves your bed when one opens. Non-refundable.


    Payment does not guarantee placement. All applicants must still meet standard occupancy criteria.


     

  • Yes, I understand and agree to the above terms*
  • Should be Empty: