Apply for Housing

Carrie Carriage Independent Homes provides clean, comfortable, furnished private bedrooms with access to shared common areas.

Monthly housing cost

Private furnished room: $700 per month
Additional approved occupant: $100 per month
Security deposit: $350
Application and background-screening fee: $35

Monthly housing costs include electricity, water, Wi-Fi, furnishings, and access to shared common areas. Maximum occupancy is based on bedroom size and applicable housing requirements.

Submitting an application does not guarantee approval or reserve a room.

Housing Application

Fields marked * are required.

Applicant information

Full legal name *

Date of birth *

Requested move-in date *

Phone number *

Email address

Current address *

Occupancy information

How long do you expect to stay? *

How many people, including yourself, will live in the room? *

Full name, age, and relationship of each additional occupant

Every adult occupant must complete a separate application and authorize screening. Final occupancy approval depends on bedroom size and applicable housing requirements.

Income and payment information

What is your monthly income? *

Primary source of income *

Employer, agency, or payment-source name

May we contact this source to verify income? *

Can you pay required move-in costs? *

Current housing information

Where are you currently living? *

Why are you seeking new housing? *

Current or previous landlord/property manager

Landlord/property manager phone number

May we contact this person for a housing reference? *

Have you had an eviction or unpaid rental balance? *

Explanation

An eviction or previous balance does not automatically result in denial. You may share information about the circumstances.

Shared-home safety and compatibility

Do you smoke or vape? *

Do you have a pet, service animal, or assistance animal? *

Additional information

Are you willing to follow the written home rules? *

Rules cover quiet hours, shared-area cleaning, guests, smoking, illegal drugs, safety, respect for residents, and payment deadlines.

Do you need a reasonable accommodation or accessibility modification? *

You are not required to disclose a medical diagnosis on this application.

Emergency contact

Emergency contact’s full name *

Relationship to applicant *

Emergency contact phone number *

Case manager or approved support contact, if applicable

Support contact phone number

Application authorizationI certify that the information in this application is true and complete. *I authorize Carrie Carriage Independent Homes to verify my identity, income, rental history, and references. *I understand that any background screening will require my separate written authorization. *I understand that all adult occupants must complete the required screening. *I understand that false or materially incomplete information may result in denial or termination of occupancy, subject to applicable law. *I understand that submitting this application does not guarantee approval or reserve a room. *I understand that the $700 monthly rate covers one occupant and each additional approved occupant is $100 per month. *I understand that final occupancy is subject to bedroom size and applicable housing requirements. *I agree to review and sign the rental agreement and house rules before moving in. *

Applicant’s electronic signature *

Your information is kept confidential and is used only to review your housing application.