This form is NOT an application for housing. Fields marked with an asterisk * must be completed.

In order for your eligibility to be considered, you MUST:

  • have a minimum gross (before taxes) income of $1,725.00 (not including food stamps) per month for the entire household... if you have a Section 8 voucher, the minimum monthly income is $700.00;
  • be able to establish utility services in your name with no outstanding balance from prior service on your account;
  • have no pets (except for service/assistance animals).

Please allow 10-15 business days to determine your eligibility.

Rental Housing Eligibility Form

Household Member 1

Enter information about other members of your household here.

Household Member 2

Enter information about other members of your household here.

Household Member 3

Enter information about other members of your household here.

Household Member 4

Enter information about other members of your household here.

Household Member 5

Enter information about other members of your household here.

Household Member 6

Enter information about other members of your household here.

Household Member 7

Enter information about other members of your household here.

Household Income

You must have a minimum gross (before taxes) income (not including food stamps) of $1,725.00 per month for the entire household. If you have a Section 8 voucher, the minimum monthly income is $700.00. Please do not submit this form if you do not meet these conditions.

Rental and Utility Payments

Your inquiry will not be considered if you have an outstanding rental balance in excess of $1,000.00 or if you have any outstanding balance due to a utility service provider that prevents you from establishing new service in your name. Please do not submit this form if you do not meet this condition.

More About You

More information about you