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Important Housing Disclosure: Haven Homes for Hope provides independent living housing under standard residential lease terms.

Haven Homes for Hope is not a shelter, transitional housing program, or supportive services program. Housing is not contingent upon participation in any program, employment, or services.

Haven Homes for Hope leases properties from private owners and subleases them to residents in accordance with applicable landlord-tenant laws.

First name

Last name

Email

Phone

Birthday

Month

Day

Year

Address

Are you a U.S. Veteran?

Yes

No

Prefer not to say

Haven Homes for Hope welcomes veterans and non-veterans. Veteran status is not required to apply or qualify for housing.

(Optional ) Branch of Service: Discharge Status:

Preferred Move-In Timeline

Immediately

Within 30 days

31-60 days

60+ days

Anticipated Length of Stay

Short-Term (3-6 months)

Long-Term 6-12 months or more)

Approximate Monthly Gross Income

Have you rented housing within the past 24 months?

Yes

No

If yes, please provide the following as listed below:

Previous Address

Landlord or Property Manager Name

Contact Information

Dates of Residency

Have you ever been evicted?

Yes

No

Background information is evaluated on an individual basis and in accordance with applicable laws.

Are you currently involved in any open landlord-tenant disputes?

Yes

No

Emergency Contact

Name

Relationship

Phone Number

Residents are expected to comply with all lease terms, house rules, and applicable laws. Housing is independent living. Residents are responsible for their own daily living needs.

I understand and agree

Haven Homes for Hope may share information about community resources, employment opportunities, or supportive services. Participation in any external resources is voluntary and not a condition of housing or continued tenancy.

I acknowledge

Optional Resource Interest (Please check any you would like information about)

Signature

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I certify that the information provided in this application is true and accurate to the best of your knowledge. I understand that submission of this application does not guarantee housing and that approval is subject to availability and screening in accordance with applicable laws.

Haven Homes for Hope complies with all applicable federal, states, and local fair housing and landlord-tenant laws. Housing is offered without discrimination based on race, color, religion, sex, national origin, familial status, disability, veteran status, or any other protected characteristic. While outreach may prioritize veterans, housing is open to all qualified applicants.

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