Collective Chicago Application for Housing
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Email *
First name *
Last Name *
Age *
Phone Number *
Where did you grow up?
 *
I am currently living: *
If you identified you are "In a shelter," please identify which one. *
Current employment status: *
If employed, what company do you work for?
If employed, how many hours on average do you work per week?
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How did you hear about us? *
Current income: *
Do you have anything on your criminal record? (Your answer will not affect your chances of being accepted.) *
If yes, please provide any pending or or existing violations that could appear on a background check.  (Again, this is only to better understand how to help you around your past obstacles)
Please list your last two employers and what year(s) you worked there. *
Where do you hope to be one year from now? *
What future career(s) are you interested in exploring/pursuing? *
What are your passions or interests outside of work? *
What would your closest friend or family say is your best quality? *
What are some goals you have for yourself? *
In what neighborhood do you most often reside now?
 *
A copy of your responses will be emailed to the address you provided.
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