514 Housing Application – The 5:14 Initiative

The 5:14 Initiative

Greensboro Refugee Housing Initiative

YOUR INFORMATION

First Name *

Last Name *

Email *

Confirm Email

Phone *

Current Address *

What is your birth country? *

Which country did you immigrate from and what was the date of your arrival in the USA? *

Who else will be living in the home? Names, relationship to you, and ages *

All names and ages of each person living in the home.

Monthly Income *

Other Income and Social Services *

What is your transportation situation *

How do you move about the city and travel to work? Do you own a car? Do you rely on public transportation? Do you use a ride share with your employer? We need to know this to adequately understand where to place you in terms of housing.

YOUR HOUSING WISHES

Describe why you wish to move from your current living situation *

I am looking for housing with this number of bedrooms *

Desired Move in Date *

Describe your current lease agreement at this time.

I am looking for help to become a home owner *

Our initiative helps clients prepare themselves for home ownership. However, this is not a requirement to be accepted into our program.

I am looking for a place that allows pets *

If yes, please describe your pet situation below

If your are bringing pets with you, please describe them here

I am hoping to transition into: *

Choose as many as are applicable to your living situation.

Do you have rental insurance? *

Renters insurance is an insurance policy that can cover theft, water backup damage, certain natural disasters, bodily injuries and more in a rented property. If you rent an apartment or a home, renters insurance is recommended for protecting your space and belongings in the event of a covered accident.

DOCUMENT AND AGREEMENT CENTER

As part of this initiaitve, I agree to be trained and monitired in regards to cleanliness and upkeep of the home. *

In order to be accepted into this program, you will be instructed on standards of cleanliness for the home and someone will check the home once per month. In addition, you will be taught how to properly care for the maintenance of the home and this will be monitored.

As part of this initiative, I agree to attend and complete financial training that this initiative provides. *

This initiative requires accepted applicants to complete training to understand the complexities of money management.

As part of this initiative, I agree to complete tasks required to prepare for home-ownership (if this is the goal) *

This initiative highly recommends home ownership and will provide detailed and customized training to position the applicant for home ownership.

Upload the following documents here:

Proof of Monthly Income
Proof of other income and services
Proof of Legal Immigration Status
Recommendation letter from sponsor or agency

Tick the box when you have completed uploading each document to move forward with your application.

Upload Documents Here

Drag and drop your file here or click here to upload from your computer You can upload up to 10 files.

This is where you upload the proof to your answers you listed above and other documents we need to evaluate your application.

I allow this website to collect and store the submitted data for the purposes of applying to be accepted into the Greensboro Refugee Housing Initiative. I understand that this information is to be securely stored and is not to be shared with any person or party outside of The 5:14 Initiative for the practical record keeping for this housing initiative.

Acknowledgement *

I have read and understand the following statements.(1)This is an initiative (program) for refugees and legal immigrants and is administered through the registered non-profit, The 5:14 Initiative, hereafter also called The 5:14i. This initiative is within the scope of the outlined objectives of the organization. (2)The 5:14i does not function as a real-estate broker and has no say in the lease agreements. The 5:14i supplies agreeable landlords with candidates from which to choose and is not financially supplemented in any way. The individual landlords and The 5:14i have no formal written agreements and therefore each landlord may or may not choose to accept tenants from this initiative. Our role is to train refugees and immigrants to become excellent tenants and future home-owners. (3)The 5:14i accepts no responsibility, and can not be held accountable for, the actions of those we refer to the landlord. The 5:14i will not co-sign or be listed anywhere on any lease.

Fair Housing Acknowledgement *

I understand that The 5:14 Initiative will only recommend participants of The Greensboro Refugee Housing Initiative to landlords who comply with all Local, State, and Federal Fair Housing practices and are known to be ethical and trustworthy property owners.

Credit Report and Criminal Records Check *

I agree to pay for the required reports to be accepted into this program. In order to be a part of this initiative, The 5:14 Initiative will conduct a credit report, sex offender query, and criminal background check. The applicant will be responsible to pay for the fees associated with these protocols for each adult within the household.

Signature Acknowledgement *

I understand by typing my name that everything I have stated and the information is true and accurate to the very best of my knowledge. Furthermore, I understand that my signature is my agreement to be accepted into this program and my full participation is required. My signature also reflects my understanding that my inability or unwillingness to remain in good standing with this initiative will result in termination from the program.

Signature

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