Gateway to Housing: Client Enrollment Form

Gateway to Housing: Client Enrollment Form

Date*

Property Owner/Manager Name*

Owner/Manager Mailing Address*

This is where we will mail your bonus check, if direct deposit isn't available.

Unit Address*

Address for property leased to GTH supported tenant.

Supportive Service Agency*

The provider supporting the tenant.

Select

Case Manager Name*

Case Manager Email*

Move-In Date*

Bonus Eligibilty*

New Member Bonus

Alternate Screening Criteria Bonus

Unsure

Upload Executed Lease + Cover Letter*

Drag and drop files here or

Send me a copy of my responses