Affordable Housing

L.A. and San Fernando Valley areas

L.A. Family Housing Corporation
re-opens its Waiting List to new applicants

PRIORITY BY DATE RECEIVED

Applications of Interest must be submitted by 4:00pm April 30, 2010

Applications can be picked up April 15–30 (Mon-Fri, 9am-4pm)

7843 Lankershim Blvd. North Hollywood, CA 91605
Also available online at www.lafh.org
 
 

____________________________________________________________________________

Vivienda de Bajos Recursos

en el área de Los Angeles y
el Valle de San Fernando
 

L.A. Family Housing Corporation

reabrirá su Lista de Espera para nuevos solicitantes

PRIORIDAD ENCUANTO FECHA RECIVIDA

La Solicitud de Interés estará disponible del 15 al 30 de Abril 2010

Puede obtener su solicitud de Lunes – Viernes, 9am – 4pm

7843 Lankershim Blvd. North Hollywood, CA 91605
También disponible en www.lafh.org
 APPLICATION OF INTEREST

Priority Given by Date Received

Applications must be received by 4:00pm April 30, 2010

Applicant’s Name: ____________________________________________________

Current Address: _________________________________________________________

Current Rent: $______________________ Current Unit Size:_____________________

Day Phone Number: _______________ Evening Phone Number: _______________

Household Size:
Number of Adults: __________
Number of Boys: ___________ Ages: ____________________________________
Numbers of Girls: __________ Ages: ____________________________________

Source of Monthly Income:

Please fill-in all that apply: Job Yourself: $___________

Job Spouse: $___________ Job Other Adult: $_________ AFDC: $_______

Food Stamps: $__________ Social Security: $__________ SSI: $_________

Other: $____________ Please Explain: ___________________________________

Other: $____________ Please Explain: ___________________________________
Other: $____________ Please Explain: ___________________________________

Total Monthly Income (all household members): ______________________________

Referred by: _____________________________________________________________

How did you hear about LAFH?______________________________________________

Please return completed form between April 15 and April 30 at 4:00pm to:

HOUSING WAIT LIST

L.A. Family Housing
7843 Lankershim Blvd.
North Hollywood, CA 91605

For Office Use Only

Applicant Number:________________________________________________________
Date Assigned:___________________________________________________________
Date Assigned to Data Base:_________________________________________________
Maximum Number of Family Size: __________Size of Unit Required per HUD:_______
Staff Name:____________________________ Staff Signature:_____________________