Application for Housemates / Students
If you are interested in finding out more about applying to be a housemate in our affordable housing, please complete this form bellow and you will be contacted by one of our staff members. 

Applicants must be above the age of 21, must be able to pass a background check as well as financial eligibility requirements. 

More information on Student Housing can be found at www.ourplacenashville.org/students

More information on Housemate housing can be found at www.ourplacenashville.org/housemates

For more general info, go to www.ourplacenashville.org
Sign in to Google to save your progress. Learn more
Applicant's Complete Name *
Email Address *
Cell Phone Number *
Applicants Date of Birth *
MM
/
DD
/
YYYY
Which of these categories best fits your situation *
Place of employment (If applicable)
If you are a currently enrolled as a student (or will be in the future, please tell us: 1. What institution you are enrolled in? 2What degree/program you are pursuing? 3. When you expect to graduate?
Our housing is Affordable Housing as defined by the US Department of Housing and Urban Development. This means that all residents must go through a financial qualification to ensure that they qualify for affordable housing. How much gross income do you earn? (including any SSI, SSDI, educational stipends, etc) *
Do you have a diagnosed intellectual or developmental disability? (if yes, please fill out our application for the "Friend waiting list") www.ourplacenashville.org/waitinglist
Clear selection
Do you have any physical disabilities or medical needs?
Clear selection
What is your desired date or month of move?
How did you hear about Our Place Nashville? 
Other Questions or Comments
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy
Google Forms