Divine Village Homes Application
Resident Housing Application
Thank you for applying for Divine Village Homes. Please answer the questions to the best of your ability. If the question does not apply to you, please write NA for not applicable.
If you have any questions about the application, please contact me at 502-292-9467.

There is a $250 nonrefundable deposit. There is a one time $50 Pet deposit.
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Name *
Email *
Address *
Phone number *
Date of Birth *
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Sex at Birth *
Drivers License Number and State *
Do you have children who will be living with you?
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If you will have children living with you at this property, what are their names and ages? *
What is your preferred start date  *
Please provide a brief summary of why you need a place to stay?  *
Do you have a Case Manager, Probation Officer, an or Agency that you must follow up with? If so, please provide their name and contact information.  *
What is your monthly income? *
Where do you work and what is your work schedule? *
What is your job title?  *
How long have you been at your current job? *
If you have other benefits or income, please list the amount and Date Paid for SSI/SSDI, Veterans Benefits, Retirement, Other. If none, write NA *
Please write the date you get your benefits and the amount.
How often are you paid or how often do you receive benefits? *
Do you have a disability and or mental health issues? Please provide information below. 
Do you have any misdemeanors or felonies? Please explain below. *
Have you ever been evicted? If so, how long ago and what was the reason?? *
Do you have a pet? If so what kind and how many pounds? There is a one time pet deposit of $50 and a $5 monthly pet fee per pet. *
Are you allergic to dogs? *
Are you allergic to cats? *
Do you smoke?  *
Do you drink? *
Are you taking any medications? Yes/No. If yes, please write down your medications and what it's used for. 
Please list 2 people to be your Emergency Contact/s Name, Phone Number & Email *
Please list 3 professional references. One from your current job and another from another professional source such as Pastor, Barber, Instructor, or Mentor. These references will be someone who have known you for more than a year. Please provide their Name, Phone Number & Email *
What is your Primary Mode of Transportation?  *
Do you need assistance with food programs? 
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How long would you like to reside in our home? *
Do you understand that this Short Term Rental monthly fee ranges from $600 - $800or $150 to $200 weekly depending on the circumstances? *
Do you understand that there is a $250 non refundable deposit to prep and clean your room? *
Do you also understand that this is a lease agreement and not a contract? *
If you can't pay your monthly fee, who can you call for help? Please list their name, phone number and email. *
I consent to DVHomes staff via SMS, Email or by phone using the information provided for application review. *
A background check link will be provided here. Please copy the link to Zillow to finish your application. If you have already completed this link, please skip to the next question. The background check is $35.  https://zillow.com/r/1v683bean0qkk *
Please type your name below and hit Submit.  *
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