AFRF Recruit Housing Application
Powered by the Atlanta Fire Rescue Foundation
SECTION 1: Applicant Information
Name
*
First Name
Last Name
Preferred Name (if different)
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Email Address
*
example@example.com
Recruit Class Number
*
Graduation Date
*
Date of Birth
*
-
Month
-
Day
Year
Date
Emergency Contact
*
First Name
Last Name
Emergency Contact Phone #
*
Please enter a valid phone number.
Format: (000) 000-0000.
Relationship to Emergency Contact
*
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SECTION 2: Current Housing/Rental History
Where are you currently staying?
*
Please Select
With family/friends
Apartment
Couch-surfing
Hotel
Car
Other
Current Home Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Landlord Name
*
First Name
Last Name
Landlord Phone
*
Please enter a valid phone number.
Format: (000) 000-0000.
Monthly Rent
*
Are you current on your rent?
*
Yes
No
Lease Type
Please Select
Month-to-Month
Fixed Lease
Staying with family/friends
Other
Have you ever broken a lease?
*
Yes
No
Any evictions?
*
Yes
No
Reason for leaving current housing:
*
Type of Room Requesting (Selected by Raffle):
*
Please Select
Single Room ($900/mth)
Shared Room ($800/mth)
Premium Double w/ Full Kitchen ($1000/mth)
Only the single and premium double will be selected by raffle
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SECTION 3: References
Reference #1 Name
*
First Name
Last Name
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Email
*
example@example.com
Relationship
*
Time Known (years)
*
Reference #2 Name
*
First Name
Last Name
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Email
*
example@example.com
Relationship
*
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SECTION 4: Program Financial Terms & Financial Acknowledgment
Please review and acknowledge the financial terms of the Recruit Housing Program before submitting your application.
Financial Terms Acknowledgment
*
I understand the program fee is determined by what room you choose.
I understand that a $500 Damage Reserve fee is due prior to move-in.
I understand rent must be paid on the due date outlined in the residency agreement.
I understand failure to make timely payments may result in removal from the housing program.
I understand housing is only available while I remain an active AFRD recruit.
Type your initials to confirm agreement with the financial terms above.
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SECTION 5: Short Answer Questions
Why are you applying for the Recruit Housing Program?
*
0/200
Is there anything else you’d like us to know about your situation or needs?
*
0/100
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SECTION 6: Agreements & Program Rules
PROGRAM OVERVIEW AND RULES
*
Please confirm the following agreements:
*
I understand the housing is available only while I am an active AFRD recruit
I agree to vacate the property upon graduating or exiting the academy
I agree to complete periodic surveys
I understand AFRF may request a written or video testimonial following my participation.
I allow AFRF to use my testimonial/photos/media
I understand I am financially responsible for any damages beyond normal wear and tear.
I agree to community guidelines
I understand this is shared housing with common areas and agree to respect fellow residents.
I understand that AFRF reserves the right to terminate my residency for non-payment, conduct violations, property damage, or failure to maintain active AFRD recruit status.
I certify all info is accurate
I have read and agree to all rules above (including the PDF)
SECTION 7: File Uploads
Upload Proof of AFRD Recruit Status
*
Browse Files
Drag and drop files here
Choose a file
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Upload Government-issued Photo ID
*
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Optional: Letter of Support
Browse Files
Drag and drop files here
Choose a file
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SECTION 8: Signature
Type your full name to confirm your application
Signature
Today's Date
-
Month
-
Day
Year
Date
Submit
Should be Empty: