Rental Application
We appreciate your interest in renting from Yolande Johnson, owner of Warriors Rise Ministry House located at 11105 E 8th Ave. Spokane Valley, WA 99206. Yolande and the leaders are excited about the possibility of you renting. Please fill out these questions. 

You will hear back from the team within 7-10 business days. We are praying for you.

Contact us at (509) 270-5295 for questions
Sign in to Google to save your progress. Learn more
Email *
I want to rent *
First, Middle, Last Name *
Phone Number *
Date of Birth *
MM
/
DD
/
YYYY
Driver License Number & State *
Social Security Number *
I understand that I will pay a refundable security deposit equal to the amount of my room rent if accepted. For example, if I rent a room for $700, then my refundable security deposit is $700. 
 *
I understand I am not allowed to smoke, vape, or use any drug or alcohol on the premises. I further understand that doing so is a violation of the rental agreement, whereupon I will be asked to leave, pay any damages, and/or be evicted.  *
Are you a medical marijuana user? *
Do you have a history of drug, alcohol, or smoking abuse? When was the last time you used it?
 *
What is your gender? *
Do you have children or adults in your care? *
Marital Status *
Are you actively escaping an abuser or being sex trafficked? *
I understand this is a pet/animal free home *
Do you have a service animal? *
Do you have multiple vehicles or boats, RV's etc.?  *
Vehicle Year, Make, Model, License State, License Number *
I understand I am not allowed to bring a firearm to the home *
Current Physical Address *
Current Landlord Name, Phone, and Monthly Rent *
How long have you lived here? *
Previous Landlord Name, Phone, and Monthly Rent *
How long did you live here? *
Are you currently employed?  *
How much monthly do you make? *
What is your supervisor's name and phone number? *
What is your previous employer supervisors name and phone number? *
How much monthly did you make? *
Do you have other verifiable income sources? *
Parent(s) name, address, and phone (If known)
 *
Do you have significant major loans? *
Have you filed for bankruptcy? *
If you filed for bankruptcy, when did you file?
Do you have any physical disabilities that would require assistance? *
Do you have any personal or mental issues that would disrupt other tenants living peacefully in the home?  *
Do you have current medical insurance? *
Please add the name, email, and relationship for a personal reference (1). *
Please add the name, email, and relationship for a personal reference (2). *
Have you been charged with or convicted of a violent crime? *
List all felony/misdemeanor convictions and years *
Do you have to register as a sex offender? *
Are you a Section 8 renter? *
Have you ever been evicted or asked to leave by a current or previous landlord? *
How long do you plan to stay? *
What is your preferred move-in date? *
MM
/
DD
/
YYYY
What is your reason for moving? *
Please add the name, phone number, and relationship of an Emergency Contact: *
How did you hear about the rental?
Clear selection
I agree to pay the nonrefundable $31.58 fee to complete the background check and credit report.

Note: The link will be provided after the initial application is submitted. Also, only one background fee will be charged if applying for Warriors Rise Discipleship at the same time.  *
By writing my name below, I attest all the information is correct and true to the best of my knowledge. I also approve business reviews of my consumer/credit report, making of reference checks, and verification of all information thereto. *Write your name below to sign* then click "Submit" to finish the application *
A copy of your responses will be emailed to the address you provided.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
PrivacyTerms
This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy

Does this form look suspicious? Report

Google Forms