Please provide your basic contact and personal details.
Select your current supervision status.
Tell us about your current employment and income.
Provide your expected move-in date and emergency contact.
Please review and acknowledge the following before submitting.
Residents agree to:
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• Maintain employment or verified income
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• Comply with supervision requirements
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• Follow curfew and property guidelines
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• Maintain cleanliness of shared spaces
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• Abstain from illegal activity or prohibited substances
Violation of program rules may result in removal from housing.