Application for Housing - Atlanta Housing Authority

1 Application for Housing Return the completed Application to one or more of the following communities: Community Name Address City State Zip Phone Barge Road Highrise 2440 Barge Rd. SW Atlanta GA 30331-5251 404-346-5100 cheshire Bridge Road Highrise 2170 cheshire Bridge Rd. NE Atlanta GA 30324-5705 404-679-5500 Cosby Spear Highrise 355 North Ave. NE Atlanta GA 30308-2521 404-249-1305 east Lake Highrise 380 east Lake Blvd. SE Atlanta GA 30317-3154 404-370-8107 Georgia Avenue Highrise 174 Georgia Ave. SE Atlanta GA 30312-3030 404-332-1500 Hightower Manor Highrise 2610 ML King Dr. SW Atlanta GA 30311-1642 404-699-4112 Juniper & Tenth Highrise 150 Tenth St NE Atlanta GA 30309-4021 404-249-1322 Marian Road Highrise 760 Sidney Marcus Blvd.

2 NE Atlanta GA 30324-3156 404-814-2100 Marietta Road Highrise 2295 Marietta Rd. NW Atlanta GA 30318-1900 404-609-7803 Martin Street Plaza 600 Martin St. SE Atlanta GA 30312-2921 404-332-1500 Peachtree Road Highrise 2240 Peachtree Rd. NW Atlanta GA 30309-1124 404-609-7800 Piedmont Road Highrise 3601 Piedmont Road NE Atlanta GA 30305-1415 404-814-2108 Westminster 1422 Piedmont Atlanta GA 30309-2776 404-541-5887 Community Name Address Phone For TTY/Relay Service Dial 711 Application Information Sheet Welcome to our community. We are glad you inquired about our Application process. The admissions process is comprised of three components: Application , screening, and leasing.

3 In order for us to begin reviewing your Application , you must complete the Application and accompanying forms. Upon request, you must also provide the following documents and information: Birth Certificate for each family member Proof of Social Security Numbers for each family member Proof of Citizenship or Eligible Immigration Status Income RecordsThe process used in screening to determine eligibility and suitability includes a review of the following: Compliance with the Work/Program Participation Requirement Criminal history review Credit check to determine your ability to pay rent Rental history, including contact of previous and current landlords to verify leasecomplianceIf eligible, the community will offer you an available apartment and invite you to lease the apartment.

4 You will only be given two unit offers. If you refuse both offers, your name will be deleted from our Community s Waiting List. The Atlanta Housing Authority provides low rent Housing to eligible families including families with children, elderly families, disabled families and single people. We do not discriminate against applicants on the basis of their race, religion, sex, color, national origin, age, disability or familial status. In addition, we provide "reasonable accommodations" to applicants any household members have a disability.

5 A reasonable accommodation is a structural change to our units or common areas, or a modification of a rule, policy, procedure, or service that will assist an otherwise eligible applicant or resident with a disability to make effective use of our programs. We hope that this information will help you better understand the Application process. For more information, or visit us on the web at You may also pick up a brochure at our offices at 230 John Wesley Dobbs Avenue in Atlanta . If you require special assistance to complete this form due to a disability, please contact the Property Manager.

6 Form AHA-A1 Page 1 Rev Date 10-08-13 THIS SECTION FOR MANAGEMENT/LEASING OFFICE USE ONLY Name: Bedroom Size: Date and time of receipt of the Application : Application FOR Housing Please read all of the information below before beginning this Application . This apartment community provides affordable Housing to eligible individuals and families. We do not discriminate against applicants on the basis of their race, religion, sex, color, national origin, age, disability or familial status. Reasonable Accommodations for Applicants with Disabilities We provide "reasonable accommodations" to applicants who demonstrate the need for them due to a disability.

7 A reasonable accommodation may be a structural change to our units or common areas, or a modification of a rule, policy, procedure, or service that will assist an otherwise eligible applicant or a resident with a disability to make effective use of our programs. A family that has a member with a disability must still be able to meet essential obligations of the lease. For example, they must be able to pay rent, to care for their apartment, to report required information and to avoid disturbing their neighbors. If you or a member of your family have a disability and think you might need or want a reasonable accommodation, or if you need help completing this Application , you may request it by informing the property manager at any time.

8 This is up to you. If you would prefer not to discuss your situation with the property manager, that is your right. Please read Article Seven from Atlanta Housing Authority s Statement of Corporate Policies for the complete Reasonable Accommodation Policy (attached). Are You Eligible? To be eligible for admission, an applicant must meet all of the following requirements: is an eligible low income family based on total annual household income limits established by theU. S. Department of Housing and Urban Development (HUD); members of Applicant s household must satisfy HUD s statutory and regulatory requirements forcitizenship / eligible immigrant status; school-age member of the Applicant s household who is under 18 years of age and who has notcompleted her/his secondary education must be enrolled and attending an accredited public or privatesecondary academic or technical school; household member, 18 years of age and older, must be employed for at least 15 hours per week.

9 Student at an AHA recognized school or institution; in an AHA-approved training program for at least 15 hours per week; ; disabled; or a full time caretaker for an elderly or disabled household member; and5. Applicant would be a suitable Resident based on past satisfactory behavior including, but not limited to,housekeeping performance, acceptable payment records for rent and/or utilities (as applicable), acceptablecredit history, acceptable criminal history screening and a commitment to abide by the lease offered toeligible Rise Community Only - The head of household, co-head or spouse must be elderly (age 62 or older),almost elderly (age 55 to 61)

10 , or 1 of 4 TTY/Relay 711 Section 504/ADA Coordinator Sara Dunnaway 404-817-7410 Form AHA-A2 REV Date 11-01-2013 Please provide the following information: Please provide all of the information requested below about each household member, including any live-in aide required for the care of an elderly or a disabled person. Definition of a Disabled Person as defined by HUD for program eligibility purposes: disabled person is one with an inability to engage in any substantial gainful activity because of any physical or mentalimpairment that is expected to result in death or has lasted or can be expected to last continuously for at least 12 months; or for a blind person at least 55 years old, inability because of blindness to engage in any substantial gainful activities comparable to those in which the person was previously engaged with some regularity and over a substantial period.