Caritas Communities Preliminary Application

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Please answer all questions. If a question does not apply to you, enter "N/A." Blank answers will prevent you from submitting the application. Thank you!

Email *

Please take time to review some of our application and move-in policies. *

I have read and understand that I am applying for a single room with shared bathrooms and kitchens

Select Desired Communities *

Allston

Arlington

Boston

Braintree

Brookline

Cambridge

Chelsea

Dorchester

Everett

Medford

Melrose

Quincy

Roxbury

Salem (Subsidy Waitlist)

Wakefield

Bedford (Veterans Only)

New Bedford (Veterans Only)

Required

Name (First and Last) *

Date of Birth *

YYYY

Address *

City, State, Zip *

Phone Number *

Where did you hear about us? *

Boston Metrolist

Craigslist

Mass Access

Caritas Communities Website

Web Search (Google, Bing etc.)

Housing Navigator

Other:

Do you have a mobile voucher? (section 8, MRVP, Rapid Rehousing etc.) *

Yes

Veterans are free to apply to any community. However, Bedford and New Bedford are subsidized properties for veterans only.

Are you a Veteran? *

Yes

Have you previously lived at Caritas Communities? *

Yes

Not Sure

Are you a convicted sex offender? *

Are you currently homeless, at risk of homelessness, or have you been homeless in the last six months? *

Yes - Homeless

Yes - At risk

Yes - Past 6 months

Full time students are only permitted at certain properties. At properties where full time students are not permitted, there are some exceptions.

Will you be in the next year/have you been in the last five months a full-time student? *

Yes

Answering “yes” to the following 3 questions will not automatically disqualify an applicant. Please provide a description for any “yes” answer to help us determine the best housing situation for you. Discovery of undisclosed/unexplained history regarding any of these matters may be grounds for rejection of your application.

1. Do you have a history of illegal drug use? *

Yes

2. Have you ever been convicted of a felony? *

Yes

3. Have you ever been evicted from any housing? *

Yes

The following questions are about your income:

If working, what is your hourly pay and how many hours do you work per week on average? (If not working, enter zero "0" for both)

Hourly Wage *

Average Hours Per week *

Hourly Wage for second job (If there is no second job, enter zero "0") *

Average Hours Per week for second job (If there is no second job, enter zero "0") *

Do you receive commissions, tips, or bonuses in addition to your regular pay? *

Yes

If yes, what is the weekly average? (If no, enter zero "0") *

Are you on fixed income? (SS, SSDI, Pension, etc.) *

Yes

If yes, what is the monthly amount before deductions? (If no, enter zero "0") *

The following questions are about your current and past living conditions

Please provide the name, address, phone number, and/or email address of your current landlord. Please also include how long you have lived at this address. *

Please provide the name, address, phone number, and/or email address of your previous landlord. Please also include how long you lived at this address. *

The following questions are about your employment history:

Please provide the name, address, phone number, and email address of your current employer. Please also include how long you have been employed here. *

Please provide the name, address, phone number, and email address of your previous employer. Please also include how long you have been employed here. *

The following questions help us establish personal history

Please provide the name, relationship, and contact information of a personal reference *

If you have a social worker, case manager, or housing advocate, please provide their name, agency, email, and phone number. *

Please read the following and acknowledge:

I understand I must pay a security deposit for this room prior to occupancy, making move in costs up to two months rent. *

Yes

I understand that my eligibility for housing will be based on applicable income limits and by management's selection criteria. *

Yes

I understand that I am responsible for reporting any substantial changes in eligibility to Caritas Communities,Inc. (e.g. income changes, student status changes, sex offender status changes). Failure to do so in a timely manner may result in the cancellation of my application or, if applicable, termination of my lease. *

Yes

Under penalty of perjury, I certify that the information presented in this application is true and accurate to the best of my knowledge. The undersigned further understands that providing false statements or information constitutes an act of fraud. False, misleading or incomplete information will lead to cancellation of this appIication or termination of a lease agreement after occupancy. *

Yes

I agree to comply with income recertification requirements, including the annual submission of information regarding all sources of income from employers and government programs, including income from assets such as bank accounts, CD's, & 401K's. *

Yes

Send me a copy of my responses.

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