Thank you for your interest in becoming a landlord partner! We appreciate you taking the time to complete this form. Someone will be in contact with you shortly.

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* 1. Company Name

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* 2. Contact Name

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* 4. Phone Number

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* 5. Have you partnered with The Bridge Home or provided other affordable housing in the past?

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* 6. Which supportive housing programs are you interested in? Please select all that apply.

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* 7. Where are your properties located? Please select all that apply.

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* 8. How many units do you have available for supportive housing?

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* 9. What size units might be available? Please select all that apply.

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* 10. How soon would a unit be available?

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* 11. Which types of pets do you allow? Please select all that apply.

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* 12. Do you rent to convicted felons?

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* 13. Do you rent to registered sex offenders?

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* 14. Do you offer smoking and non-smoking units?

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* 15. Is there anything else you would like us to know?

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