Office of Resilience and Community Services
HOUSING & SUPPORT LANDLORD RENTAL AVAILABILITY

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1. Today's Date

Date / Time

Date

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2. First and last name: (Required.)

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3. Organization name: (Required.)

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4. Title: (Required.)

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5. Email: (Required.)

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6. Business address: (Required.)

Street address

Address line 2

City

State

Zip code

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7. Phone number: (Required.)

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8. Do you currently accept HUD Vouchers? (Required.)

Yes

Case by case review

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9. What determines your decision to accept HUD Vouchers? Check all that apply. (Required.)

Sustained rental income.

Desire to help the community.

Other (please explain )

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10. How likely are you to participate in a HUD Voucher Program? (Required.)

Not at all likely

Unsure

Extremely likely

Clear

i We adjusted the number you entered based on the slider’s scale.

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11. If you have worked with, or are currently working with Community Services, how pleased are you with the management of our HUD grants? (Required.)

Not at all pleased

Neither pleased nor displeased/Not applicable

Extremely pleased

Clear

i We adjusted the number you entered based on the slider’s scale.

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12. Are you interested in more information about how to become a HUD Housing voucher Program Partner? (Required.)

Yes

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13. Do you prefer to include utilities? (Required.)

Yes

Negotiable

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14. Will you accept tenants with past evictions? (Required.)

Yes

Case by case review

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15. Do you require background screenings? (Required.)

Yes

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16. Please tell us about your current unit availability. Indicate how many of the unit types you currently have available in the list below.

Efficiency

One bedroom

Two bedroom

Three bedroom

Four bedroom

Five bedroom

Six bedroom

Seven bedroom

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* 1. Today's Date

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* 2. First and last name: (Required.)

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* 3. Organization name: (Required.)

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* 4. Title: (Required.)

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* 5. Email: (Required.)

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* 6. Business address: (Required.)

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* 7. Phone number: (Required.)

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* 8. Do you currently accept HUD Vouchers? (Required.)

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* 9. What determines your decision to accept HUD Vouchers? Check all that apply. (Required.)

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* 10. How likely are you to participate in a HUD Voucher Program? (Required.)

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* 11. If you have worked with, or are currently working with Community Services, how pleased are you with the management of our HUD grants? (Required.)

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* 12. Are you interested in more information about how to become a HUD Housing voucher Program Partner? (Required.)

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* 13. Do you prefer to include utilities? (Required.)

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* 14. Will you accept tenants with past evictions? (Required.)

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* 15. Do you require background screenings? (Required.)

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* 16. Please tell us about your current unit availability. Indicate how many of the unit types you currently have available in the list below.

1. Today's Date

2. First and last name: (Required.)

3. Organization name: (Required.)

4. Title: (Required.)

5. Email: (Required.)

6. Business address: (Required.)

7. Phone number: (Required.)

8. Do you currently accept HUD Vouchers? (Required.)

9. What determines your decision to accept HUD Vouchers? Check all that apply. (Required.)

10. How likely are you to participate in a HUD Voucher Program? (Required.)

11. If you have worked with, or are currently working with Community Services, how pleased are you with the management of our HUD grants? (Required.)

12. Are you interested in more information about how to become a HUD Housing voucher Program Partner? (Required.)

13. Do you prefer to include utilities? (Required.)

14. Will you accept tenants with past evictions? (Required.)

15. Do you require background screenings? (Required.)

16. Please tell us about your current unit availability. Indicate how many of the unit types you currently have available in the list below.