Shared Housing Placement Application

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Full Name
First Name
Last Name
2
Email Address
example@example.com
3
Phone Number
Please enter a valid phone number.
4
Consent for Background Check (no credit check)
Yes, I consent to a background check (no credit check)
No, I do not consent
5
Do you have any criminal history?
No
Yes (please provide details below)
6
If you answered yes to the previous question, please provide details about your criminal history.
7
Preferred Locations (city, ZIP code, or general area)
8
Do you prefer an apartment or a house?
Apartment
House
No preference
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Would you like to live near work or family?
Near work
Near family
No preference
10
What is your budget range for housing (per month)?
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Preferred housing type
Male-only
Female-only
No Preference
12
Do you require child-friendly housing?
Yes
No
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Desired move-in timeframe
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Intended length of stay (months)
15
Employment or income source
16
Which best describes your daily schedule or lifestyle?
Quiet
Social
Work-from-home
Night shift
Early riser
Other
17
Do you smoke?
Yes
No
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Do you have any pets? If yes, please specify type and number.
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Monthly Income
20
Do you require any special accommodations or have considerations we should be aware of?
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By submitting this application, I understand and acknowledge that: • A $65 non-refundable application fee is required for all applicants 18 years and older at the time of submission. • If approved, a one-time $500 flat placement fee is required to secure housing prior to move-in. • The placement fee covers housing coordination, compatibility-based placement, and onboarding services, and replaces the need for a traditional security deposit. • The placement fee is separate from rent, and first month’s rent is due on the scheduled move-in date.
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I acknowledge and agree to the application fees and placement terms.* This field is required.
[object Object],[object Object],[object Object]
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My Products* This field is required.
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My Bag
1
My Bag
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$20
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Size:Small
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Great Product Name
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Quantity:1
Size:Small
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Great Product Name
$20
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ORDER SUMMARY
Total costUSD
Application Processing FeeThe application fee covers application review and administrative processing. Application fees are non-refundable.
$65.00Edit
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Total cost $0.00
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Payment Methods
Should be Empty: