Preliminary Application 1Applicant2Co-Applicant3Income Applicant InformationPreferred Housing CommunitySelect a Housing CommunityHiddenSelected community Waitlist Type We cannot guarantee availability of specific unit types, but we take into account your unit preference as well as your ADA needs. At this time this housing community is offering units Preferred Unit Type Please indicate your preference belowStudio(Required)Select PreferenceFirst ChoiceSecond ChoiceNot InterestedOne Bedroom(Required)Select PreferenceFirst ChoiceSecond ChoiceNot InterestedOne Bedroom(Required)Select PreferenceFirst ChoiceHiddenStudio not offered Do you require the ADA accessibility features of the following types of units Mobility Hearing Vision Other Hiddenfirstchoice Hiddensecondchoice HiddenPreferred Housing Community AllSelect a Housing CommunityArchbishop Carroll ManorArchbishop Hurley HallArchbishop McCarthy ResidenceCasa Sant’AngeloMarian TowersPalmer HouseSt. Andrew Towers ISt. Andrew Towers IISt. Anne’s GardensSt. Boniface GardensSt. Dominic GardensSt. Elizabeth GardensSt. Joseph ManorSt. Joseph Manor II (Coming Soon)St. Joseph TowersSt. Mary TowersSt. Monica GardensSt. Vincent De Paul GardensStella Maris HouseHiddenCommunity Address HiddenCommunity Phone HiddenCommunity Phone2 Name(Required) First Last Address(Required) Address Line 2 City(Required) State(Required)AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict Of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingZIP Code(Required) Social Security Number(Required) Date of Birth(Required) MM slash DD slash YYYY Home Phone(Required)Cell PhoneFriend/Relative PhoneHiddenFormatted DOB U.S. Citizen(Required) Yes No Legal Alien(Required) Yes No Ethnicity(Required) Hispanic Non-Hispanic I choose not to participate Race(Required) White Black American Indian/Alaskan Native Asian/Pacific Islander I choose not to participate Is there anyone in the household who is a student?(Required) Yes No Is there a co-applicant?(Required) Yes No Do you have a Section 8 Voucher or other housing assistance? Yes No Co-applicantCo-Applicant Name(Required) First Last Relationship to Applicant(Required) Spouse Other Co-applicant Social Security(Required) Co-applicant Date of Birth(Required) MM slash DD slash YYYY Co-applicant Ethnicity Hispanic Non-Hispanic Co-applicant Race White Black American Indian/Alaskan Native Asian/Pacific Islander IncomeTotal gross household income(Combined for all members) Please enter 0 if you do not have income in types specified below.Income from Social Security(Required)social Security Month/Annual(Required) Monthly Annually Income from Pensions(Required)Pension Month/Annual(Required) Monthly Annually Income from Work & Other(Required)Income Other Month/Annual(Required) Monthly Annually AssetsSavings Account Yes No Checking Account Yes No Bonds Yes No Other Yes No Any false or withheld information is considered fraud and may be considered grounds for rejection of your application or eviction.By entering your name in the signature field, you are digitally signing this form.Date Time Date and Time Applicant Signature Signature Date 05/16/2024HiddenApplicant Date Signed Co-applicant Signature Signature Date 05/16/2024HiddenCo-applicant Date Signed
