Help Us Find Your Perfect Home Rental Fill out this questionnaire, and we’ll help you find the perfect home rental for your family! We will do our best to place you in your dream area. Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form. - Step 1 of 6Affordable Luxury Housing OverviewAre you a voucher holder? *YesNoWhat program is your voucher from? *Section 8CHA HCVHUD VASHCatholic CharitiesCook CountyOtherWhat’s the full name of your housing program supervisor?What’s the phone number of your housing program supervisor?How many bedrooms does your voucher cover? *123456+What is the $ amount of your voucher? *What is your expected $ contribution on your Rental Burden Form? *Do you have your move-in papers? *YesNoWhat date does your voucher expire? *NextFamily DetailsHow many people will be residing in the home? *What are the full names and ages of individuals over 17 years old? *What are the names and ages of children in the household? *When was the last time you deep cleaned your home? (i.e., clean the entire home from top to bottom, including - scrubbing the bathroom tub, mopping the floors with soap, and dusting for cobwebs) *Within the last two weeks1 month ago2 months agoMore than 3 months agoMore than 6 months agoDoes any of these apply to you or anyone who will be residing in the home? *Has pet(s)Has a desire to have pet(s) in the futureHas been evicted in the last 7 yearsHas filed 2 or more bankruptcies in the last 7 yearsHad filed 1 or more lawsuits against the previous landlordSmoke or vapeOwes more than $10,000 in collections, charge-offs, or both combinedCurrent home in a short sale or foreclosureNone of the abovePreviousNextRequested Housing DetailsWhat is the top preferred area you are interested in moving to? *RoselandWest PullmanPullmanWashington HeightsBeverlyMorgan ParkMount GreenwoodAshburnChicago LawnWest LawnWest WoodlawnSouth ShoreCalumet HeightWest ChesterfieldEast SideNone of the Above - please specifyCan you share the #1 neighbor you want to move to? *What other areas are you interested in moving to? (Select up to 3) *RoselandWest PullmanPullmanWashington HeightsBeverlyMorgan ParkMount GreenwoodAshburnChicago LawnWest LawnWest WoodlawnSouth ShoreCalumet HeightWest ChesterfieldEast SideWhich area do you wish to avoid? *RoselandWest PullmanPullmanWashington HeightsBeverlyMorgan ParkMount GreenwoodAshburnChicago LawnWest LawnWest WoodlawnSouth ShoreCalumet HeightWest ChesterfieldEast SideOther Areas - please specifyNot Applicable - I'm open to any areaCan you share why you wish to avoid these areas? The more specific you are, the better we can serve you and future residents. *How long have you lived at your current rental? *Less than 6 months6 months - 1 year1-2 years2-5 yearsOver 5 yearsWhy are you looking to move? *How soon are you looking to move? *ASAP (yesterday)Within 30 days1-2 months2-4 monthsOver 4 months (I'm flexible)Are you prepared to sign a lease in the next 7 days? *YesNoPreviousNextYour Career and Income OverviewAre you currently an employee, self-employed, or unemployed? *An employeeSelf-employedUnemployedWhat is your current occupation? *Have you filed taxes and have proof of your income? *Yes, I have filed taxes and have proof of incomeNo, I have not filed taxesWhat is your approximate monthly income? (including Social Security Income) *How much is your total monthly debt payment (including car, medical, student, personal, and credit card payments)? *How long have you been in your current career? *Less than 1 year1-2 years2-3 years3-5 yearsOver 5 yearsWhat is the name of your current employer/business? *PreviousNextFeedback SectionWhat’s the most frustrating thing about finding quality affordable housing?How will having an affordable program help you?In 5 words or less, what should be a memorable name to call this program? (P.S. If we select your name, we’ll give you a $50 Amazon gift card as a way to say thank you) PreviousNextYour Contact InformationName *FirstLastEmail *Phone *What other comments, questions, or feedback do you have for us?PreviousSubmit