Before viewing information re: what we have to offer,
please take a few minutes to fill out our questionnaire.
Filling out this form gains access to this site. Failure to
complete the required information on this form will
result in your form getting dumped, and you will
be denied access to the latest updates.
Thank you.
| First Name: | Last Name | ||
| Address / Apt# | City / State / Zip | ||
| Cell Phone number |
| 1. How did you find out about this site? | |
| 2.Which option best describes you as an end-user? | |
| 3. If you are a voucher holder, what size apt are you looking for? | |
| 4. How many people are on your budget including yourself? | |
| 5. What kind of apt. are you looking for? | |
| 6. How much does your program pay w/o g&e? | Nycha Rents | HPD Rents | Got Advantage NY? |
| 6a. If other, enter amount here: | |
| 7. Where are you looking for an apt? | |
| If you are visiting this site on behalf of someone else, type their name here: |
Comments:
Under penalties of fraud, I hereby affirm the above statements are
true
and accurate to the best of my knowledge.