Chesapeake Neighbors Interest Form

Chesapeake Neighbors Interest Form

By completing this form, you agree that the information you are providing is correct and that we can contact you via phone and email if a unit meeting your preferences becomes available.

Please note: This form is an interest form, not an application. Completing this form does not mean you are guaranteed a unit.

If a unit meeting your preferences becomes available, we will reach out to you and, if you are interested in it, the official application process will begin and we will require additional information such as your credit score and background checks.

First Name*

Last Name*

Phone Number*

Cell phone or home phone preferred.

Email Address*

Personal email address preferred.

Preferred Area*

You can select one or more options. Select "I'm flexible" if all five locations work for you.

Select

Preferred # of Bedrooms*

Select

Household Size*

Including children and other dependents who will live with you.

Select

Check this box if you need an accessible unit.

Accessible units are intended for people with physical disabilities. These units have accessible showers and universally designed features throughout, and have no stairs.

Gross Household Income*

Total gross annual earnings (before taxes and deductions) of all household members.

Select

Contact Agreement*

By checking this box, I agree to Chesapeake Neighbors contacting me via phone and email if a unit meeting my preferences becomes available.

Interest Form Acknowledgement*

By checking this box, I acknowledge that this form is only an interest form and NOT an official rental application.

Send me a copy of my responses

Privacy Notice|Report Abuse