Online Housing Application, North End Housing Project Inc.

Where/Who did you hear about NEHP Housing from? *

Applicant's Name *

First

Last

Phone # *

Please do not include any spaces or hyphens

Email *

Co-Applicant's Name

First

Last

Co-Applicant's Phone Number

Please do not include any spaces or hyphens

Co-Applicant's Email

How many Adults do you require housing for? (Including yourself) *

How many Children will be living there? *

Do you require Subsidized Housing? *

Is anyone living with you disabled? *

Is anyone living with you a Senior Citizen? *

Annual Household Income (Everyone's income combined) *

Current Address *

Current Landlord *

Current Landlord's Phone # *

How long at this address? *

Reason for Leaving Current Address? *

Past Address you lived at?

The last address you lived at

Past Landlord at that address?

The last landlord you had

How long at this past address?

Reason for Leaving

Reason for leaving your last address

Have you filled out last year's income taxes? *

In order to apply for rental subsidies you have to have your current income taxes filed.

*optional* Are any applicants; Status, Non-Status or Metis ?

Applicant's Declaration (Please make your mark in the box below to accept these terms and conditions.) *

I / We hereby declare that the foregoing information is true and complete. I/ We understand that any false information may result in refusal of my / our application. I/ We hereby consent to a credit check and persons investigation. *Please make your mark above that you understand and accept these terms and conditions in order to process your application. You may make your mark by typing your name.