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Hometown Affordable Shared Housing Pre-Application
Please apply to reserve a spot in one of our homes! We operate on a first come first serve basis.
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* Indicates required question
Email
*
Your email
Who are you applying for?
*
Myself
A client
Family Member
Other:
Tenant's Gender
*
Male
Female
Name of Tenant
*
Your answer
Tenant Representative Name (If you are applying for a tenant)
Your answer
Tenant Phone Number
Your answer
Tenant Representative Phone Number (if applicable)
Your answer
What type of housing are you or your client applying for?
*
Veteran Housing
Transitional Housing
Elderly Care Housing
Special Needs Housing
Sober Housing
Independent Senior Living
Student Housing
Other:
Bedroom of interest
*
Private Bedroom
Shared Bedroom
No preference
When will you or your client need to move in?
*
MM
/
DD
/
YYYY
How will you or your client pay for rent?
*
SSI
SSDI
Private Pay (your job, unemployment, etc.)
Other:
What city would you rather live?
*
Huntsville
Decatur
Madison
Harvest
No preference
Required
Any other comments and/or questions?
Your answer
Submit
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