CPAH Rental Pre-Application

Please complete all sections as fully as possible.


Judgements
YesNoN/A


Judgements
YesNoN/A

CPAH accepts housing vouchers. Do you have a housing voucher?
YesNo

Do any dependents in your household reside with you less than full time?
YesNo

Do you currently:
RentOwn

Please indicate which communities are of interest to you:
Highland ParkLake ForestEvanstonEvanston Sr. Housing (55+)

Do you work in one of these communities?
Highland ParkLake ForestEvanston

Employment

Are you self-employed? YesNo












Co-Applicant Employment

Are you self-employed? YesNo












Are there additional household members who have income?
YesNo

HOUSEHOLD ASSETS (Please add together)





Have you or any member of your household been convicted of a crime in the last 10 years?
YesNo

Have you or any member of your household been evicted or otherwise involuntarily removed from rental housing due to fraud, non-payment of rent, failure to cooperate with recertification procedures, or for any other reason, in the past 5 years?
YesNo


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