Have you've been hurt by the City's outsider-restriction policy? That means that you are interested in and applied for affordable housing that is located in a community district not your own where your racial or ethnic group is underrepresented (for example, anywhere south of 96th Street in Manhattan for Blacks, African-Americans, or Latinos) and you have not been selected in the lottery for any such housing. We are happy to talk with you, but we do need you to fill out this confidential form.

Question Title

* 1. Contact information

Question Title

* 2. Are you registered with NYC Housing Connect (the City's online affordable housing registration service)

Question Title

* 3. When was your MOST RECENT application

Question Title

* 4. What is your race or ethnicity (check all that apply)

Question Title

* 5. What is your current gross household income (annual income for you and all members of your household)

Question Title

* 6. Why are you looking to move

T