Affordable Housing Application - Clinton Management

Instructions: Please complete the following application. All fields marked with an asterisk (*) are required. PLEASE DO NOT SUBMIT THE FOLLOWING APPLICATION IF YOU WILL, OR HAVE, SUBMITTED A PAPER APPLICATION. SUBMIT ONLY ONE APPLICATION (PAPER OR ONLINE).

Property Selection:

Please select which property you are interested in applying to from the list below:*

Personal Information

First Name*

Last Name

Street Address*

Apt. Number*

City*

State*

Zip Code*

Email Address*

Total Household Size*

How many people will live with you?

Total Annual Household Income ($)*

Please specify your total (all members) household annual Income

Are you currently receiving a rental subsidy?*
YesNo

Does anyone in the household require a unit modified to accommodate for a Mobility Impairment?
YesNo

Does anyone in the household require a unit modified to accommodate for a Visual or Hearing Impairment?
YesNo

Does anyone in the household require senior housing; aged 62 and over?
YesNo

Additional Preferences

Preferred Apartment Size:

Select one of the following:

Are you interested in other housing opportunities? If yes, please select from the list of available boroughs below:
YesNo

If Yes, select option(s) from the following list:
BronxBrooklynManhattanStaten Island

Submission Acknowledgements

I DECLARE THAT THE STATEMENTS CONTAINED IN THIS APPLICATION ARE TRUE AND ACCURATE TO THE BEST OF MY KNOWLEDGE.

I DECLARE THAT I, NOR ANY MEMBER OF MY IMMEDIATE FAMILY ARE EMPLOYED BY THE NEW YORK CITY HOUSING DEVELOPMENT CORPORATION, OR THE BUILDING OWNER, ITS PRINCIPALS, OR ITS SUBSIDIARIES.

Please note that submitting an application does not guarantee an apartment. All applications are reviewed on a first-come, first-served basis, and applicants will be contacted once their application is reached in the review process. Thank you for applying!