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This helps us confirm fit for the $600 shared bedroom and respond faster.

$600 Shared Bedroom Application

Answer a Few Questions to Check Availability for the $600 Shared Bedroom

This room is a shared bedroom with one other resident. This takes about a minute. Once you submit, we’ll review your details and contact you with next steps if there’s a good fit and an opening.

Do you currently have a reliable monthly income? *

Yes

No

What is your primary source of income? *

SSI

SSDI

VA Benefits

Housing Voucher

Retirement / Pension

Employment

Other

Are you able to consistently afford $600 per month for rent? *

Yes

No

What is your current housing situation? *

Couch surfing

Motel / hotel

Staying with friends or family

At risk of losing housing

Other

When are you looking to move in? *

Immediately

Within the next 2 weeks

Within the next 30 days

Just exploring options

This room is shared with one other resident (2 men per room). Are you comfortable with that? *

Yes

Maybe

No

Are you comfortable sharing common areas such as kitchen and bathroom with other residents? *

Yes

No

Do you agree to follow basic house rules to maintain a clean, safe, and respectful living environment? *

Yes

No

Do you understand that rooms are for one resident only and guests are not allowed to live in the home? *

Yes

No

Full Name *

Email

Phone *

Date of birth

Sex Assigned at Birth *

Male

Female

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