Pre-Qualification Form First Name Last Name Your Phone Number Your Email (optional) Preferred Method of Contact PhoneEmail How did you hear about us? CraigslistNewspaperFlyerYard SignFriend Your Date of Birth Please give the name and date of birth for any other persons that you will be living with over 18 Current Address (crossroads are acceptable) How long have you lived at your current place? Number of Children Do you have any pets? YesNo Which property or properties are you interested in? Income - provide breakdown for total monthly income for each person applying and place of employment Check all that apply for any/all applicants Employed W-2 Rental Assistance SSI Child Support How long have you been at your current job? Enter 0 if not employed Has anyone applying ever been evicted? YesNo Will anyone be receiving any rent assistance? YesNo Which date would you like to move? How much would you be able to put down?