Waitlist Application - All Properties

Preliminary Application for Tenancy

Please note: this is only a preliminary application that will be used to place your name on the desired property's WAITING LIST. Once your name comes to the top of the waiting list, we will contact you regarding the next step in the application process. You can expect to receive a letter from us acknowledging receipt of your preliminary application and a preliminary determination of your eligibility.

Applicant Name*

First Last

Applicant Phone*

Date of Application

Applicant Email*

Enter Email Confirm Email

Current Address*

Street Address Address Line 2 City State ZIP Code

Applicant Eligibility

Applicant Age

Your age determines which property you may qualify for. Refer to "A specific Property/Location" below to see each property's age limit/restrictions.

Applicant Birth Date

Applicant Gross Yearly Income

Applicant Income Source

Applicant is disabled?*

Yes

Applicant is a veteran?*

Yes

Applicant is a US Citizen or Eligible Non-citizen?*

Yes

Applicant Social Security Number

Rental Property/Location Desired

Requested Move-In Date*

Number of Bedrooms*

Choose "A Specific Property/Location" below to see a dropdown of options at each property.

Do you want to be added to all properties in a City or choose 1 specific property to apply to?*

All Properties/Locations in an City

A specific Property/Location

Properties*

Apply me to all Properties/Locations in this City:

Rental properties applied to will be determined by Number of Bedrooms Wanted and Age of Applicant.

Applicant Ethnicity/Race

*Filling this area out is optional* This information is collected to assure compliance with Fair Housing & Equal Opportunity Rules

Applicant Ethnicity

Hispanic or Latino

Not Hispanic or Latino

Applicant Race

White

Black

Native American/Alaskan Native

Asian/Pacific Islander

Additional Occupant Information

List ALL additional individuals who will be living with Applicant.

(Use the + button on the right-hand side to add additional occupants)

Full Name

Relationship

Birthdate

SSN

Gross Monthly Income

Source of Income

Referrals and Signatures

If an individual or another agency referred you to Mennonite Housing, please list them below

Applicant's Signature*

In signing this application, I certify that all the statements made on this application are true and complete to the best of my knowledge. I understand that false or incomplete information may result in denial of housing assistance. I certify that no member of the household or any guest engages, or will engage in violent or drug-related criminal activity.

X/Twitter

This field is for validation purposes and should be left unchanged.