Crossroads Village MHA tenant application form 2025
Current street address, City, State and Zip Code
*
Gender or pronoun (if you have a preference)
*
Please list the roommates you plan to live with. List names, age(s), and relation to each
*
Please list your housing history for the past 10 years: whether you're a leaseholder, roommate,
house owner etc.
If chosen as a tenant, how long do you plan to live in t he apartment that you are applying
for?
*
List your current employer and past three employers+ job titles held, annual salary or hourly wage
*
List other sources of income
*
Please list incomes for any person(s) who you plan to live with in this apartment.
*
Do you or any member of your household have any special housing needs due to
disability, vision or hearing impairment, or for any other reason? If yes, please explain.
*
I/we understand that the information in this application is being requested to determine
eligibility for tenancy in an available apartment at Crossroads Village MHA.
*
I/we understand that the information in this application is being requested to determine
eligibility for tenancy in an available apartment at Crossroads Village MHA.
I/we authorize Crossroads Village MHA to verify all information
provided on this application and to contact previous or current landlords, employers, references or other sources for background information.
*
I/we authorize Crossroads Village MHA to verify all information
provided on this application and to contact previous or current landlords, employers, references or other sources for background information.
I/we certify that the statements made in the is application are true and complete to the
best of my/our knowledge.
*
I/we certify that the statements made in the is application are true and complete to the
best of my/our knowledge.
I/we understand that false statements or information will disqualify my application.
*
I/we understand that false statements or information will disqualify my application.
If chosen as a potential tenant, I/we understand that a credit check and a criminal
background check will be processed for every adult aged 18 or older as part of the eligibility requirements.
*
If chosen as a potential tenant, I/we understand that a credit check and a criminal
background check will be processed for every adult aged 18 or older as part of the eligibility requirements.
Please describe your interest in living in a cooperatively run building. Have you had any
experience living in a housing cooperative or with other types of cooperatives, or in another group living situations.
*
What interests, skills, background or experience that you would bring to help this
community?
*
Have you participated in volunteer (unpaid) community work in the past five years? Describe your experience.
How would you describe your strengths and weaknesses in group decision-making,
problem solving and doing tasks as part of a group or team? What do you see as advantages or drawbacks of such group efforts
*
On average, how many hours per month do you think you could contribute to our housing
cooperative if you are accepted?
*
Please describe a time when you worked out a conflict with a neighbor or housemate and how did it turn out
? What did you learn from the experience?
*
Are
there any "must-haves" for your living situation such as noise level, pet, live on a certain floor, etc.
*
Please list your three PROFESSIONAL references along with their contact information
*
Administrative skills Inventory. Please check the skills that apply to you or your interest level
*
Administrative skills Inventory. Please check the skills that apply to you or your interest level
General maintenance or handyman skills inventory
*
General maintenance or handyman skills inventory