Hurley Creek Senior Apartments Waitlist

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Thank you for your interest in our beautiful affordable housing community. The information collected below will be utilized to contact you upon availability. It is very important to answer the information completely and accurately. The information will be used to determine whether you are eligible for placement on the Regulatory Waitlist. This is a preliminary application and gives no Lease or Rental rights. If there is an applicable vacancy in this apartment community for which this Pre-Application deems you eligible, you will need to submit additional documentation to complete the processing of your application for residency. UPON AVAILABILITY you will receive an email at the address stated. The available apartment will be LEASED ON A FIRST COME FIRST SERVE BASIS.

First Name *

Last Name *

Current Street Address *

City *

State *

Zip Code *

Email Address *

Phone Number *

Number of Occupants *

Select only one response.

Required

List the first and last name, with date of birth, for each additional household member below. Indicate "None" if there are no other occupants. *

Bedroom Size *

Total MONTHLY Household Income *

Enter the gross amount (before taxes).

How did you hear about us? *

How did you learn about our community (friend, internet search, driving by, etc.)

Driving by

Word of mouth.

Referred by a current resident.

Google, or other search engine.

Sacramento Housing.

Sister Property.

Confirmation *

To the best of my/our knowledge and belief, I/we certify that the foregoing information is true, complete and correct. I/we understand that inquiries may be made to verify the information on this form and that false statements or omissions are grounds for disqualification and/or prosecution under the full extent of applicable law. If there is an applicable vacancy in this apartment community for which this Pre-Application deems you eligible, you will need to submit additional documentation to complete the processing of your application for residency. UPON AVAILABILITY you will receive an email at the address stated herein. The available apartment will be LEASED ON A FIRST COME FIRST SERVE BASIS. Your information and placement on the waitlist will be purged after 90 days. Select Yes below to confirm this information. Select only one answer.

Submit

Clear form

Never submit passwords through Google Forms.

This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy

Forms