RAD SUPPORTIVE LIVING, LLC

RAD SUPPORTIVE LIVING, LLC
SHORT-TERM WORKFORCE HOUSING APPLICATION
Housing Stability • Independence • Personal Growth
Saginaw, Michigan
PURPOSE OF APPLICATION
RAD Supportive Living, LLC offers non-clinical workforce housing for individuals who need temporary accommodations while completing short-term work assignments, contracts, travel assignments, seasonal employment, training placements, or projects.

This application helps RAD evaluate your requested housing dates, work assignment, income or payment arrangements, and readiness for shared living.

RAD workforce housing is offered through two-bedroom suites only. Each suite is designated for women or men, and co-ed suite arrangements are not offered.

Submitting this application does not guarantee placement. Placement depends on availability, application review, and program requirements.
SECTION 1: APPLICANT INFORMATION
Full Legal Name:

First NameLast Name
Preferred Name (optional):

First NameLast Name
Phone Number:
Format: (000) 000-0000.
Email Address:
example@example.com
Current City and State:

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Emergency Contact Name (optional):

First NameLast Name
Relationship:
Phone:
Format: (000) 000-0000.
SECTION 2: WORK ASSIGNMENT DETAILS
Type of Assignment:

RAD Supportive Living, LLC offers short-term workforce housing for individuals completing temporary work assignments, contracts, travel assignments, and other employment opportunities.
Which housing option are you interested in?
Are you comfortable sharing common areas with other participants in a shared unit?
Do you have a preferred move-in date?

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Are you flexible regarding the housing option if your first preference is unavailable?
Please note: Selecting a housing preference does not guarantee availability or placement. Final housing arrangements must be confirmed by RAD Supportive Living, LLC.
SECTION 5: INCOME AND PAYMENT ARRANGEMENTS
How do you expect to cover your workforce housing program fees?

- Housing placement depends on availability, application review, and program requirements.
- RAD workforce housing is offered through two-bedroom suites.
- I will communicate changes to my assignment dates or anticipated departure as soon as reasonably possible.
- Any extension must be approved by RAD.
- RAD provides non-clinical housing and does not provide medical care, therapy, clinical treatment, or personal-care services through this application.
- Additional verification or documentation may be requested before placement.
Applicant Signature:
Printed Name:

First NameLast Name
Date:

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
FOR RAD USE ONLY
Date Received:

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Reviewed By:

First NameLast Name
Assignment Verification:
Application Status:
Requested Move-In Date:

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Requested Move-Out Date:

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Notes:
Should be Empty: