Independent Living Housing Application Form
Apply to join our Independant Living Housing Community, also known as (Coliving). Please answer the questions below and confirm your understanding that rooms are rented by the bed.
Full Name
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First Name
Last Name
Email Address
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example@example.com
Phone Number
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Please enter a valid phone number.
Format: (000) 000-0000.
Have you lived in a Independent Living Housing (ILF) environment before?
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Yes
No
What interests you most about IFL?
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Do you understand that this house is rented by the bed and not as a whole unit?
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Yes, I understand and agree
No, I need more information
Do you understand we do NOT accept pets, drugs, smoking in the homes, any children, no spouses or mates? Type "Yes" to continue.
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What is your full legal name?
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What is your full legal name?
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When are you looking to move in?
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Income & Financial Stability questions, What is your source of income? (Employment, Social Security, pension, disability, retirement income)
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How long have you had this income?
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What is your monthly net income?
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Can you provide proof of income?
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Have you ever been evicted?
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Do you have any outstanding landlord debts? Just tell us why because (We do check)
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Type a question
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Rental HistoryWhere have you lived in the past 2–3 years?
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Rental #1 Address and phone
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Rental #2 Address and phone
Rental #3 Address and phone
Why did you leave your last residence?
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Have you ever broken a lease? (If so, why?)
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Lifestyle & Compatibility, What is your daily routine?
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Do you smoke? (Inside or outside?)
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Do you drink alcohol? If so, how often?
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Do you use any recreational drugs? If so, how long have you used them?
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Do you have pets?
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Do you have overnight guests?
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Are you comfortable sharing common spaces?
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What does cleanliness mean to you?
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What does cleanliness mean to you?
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Behavioural & Community Fit, Have you ever been convicted of a felony?
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Are you currently on probation or parole? (If so, what's the reason)
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How do you handle conflict?
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Have you lived in shared housing before?
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Are you comfortable with house rules and structured guidelines?
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Are you willing to participate in house meetings (if applicable)?
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Health & Support (If Relevant for Structured Living) Do you require any mobility assistance?
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Do you take medications that require special storage?
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Do you have any behavioral or mental health conditions that affect shared living?
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Do you have a case manager or emergency contact?
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Do you need transportation support?
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Expectations: What are you looking for in a living environment?
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What would make this a successful housing experience for you?
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Do you understand rent amount, due date, and late policy?
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Are you prepared to sign a lease agreement?
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When are you looking to move in?
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Submit Application
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