WELCOME

This is a prescreening form which is required before filling out an application. Please answer all questions honestly and truthfully. We do background and credit checks and verify all income and assets. Please note that Thistle has income restrictions.  If you complete and submit the form, we will review your information and get back to you within three business days. Thank you for your cooperation.

*= Question must be answered to continue

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1 Step 1

Nameyour full name

Phoneyour phone number

Emaila valid email

Where do you want to live?pick one!

Select An OptionBoulderLongmontEither

How many persons in your household, including yourself:

Select An Option12345678more

What is your yearly HOUSEHOLD gross income before taxes(include child support, alimony, disability, etc.)

Are you a full time student?(not including K-12)

YesNo

How many full time college students are in the household?

Select An Option0123456more

How many part-time college students in your household?

Select An Option0123456more

Do you currently own a home?

YesNo

Do you have over $55,000 in cash or liquid assets?

YesNo

Have you been currently employed for at least 6 months?

YesNo

If not employed, do you have other sources of income or assistance such as Social Security, alimony, disability or Section 8?

YesNo

Do you have a landlord reference from a management company (not family) within the past 2 years?

YesNo

Do you have a felony conviction within the last 5 years?

YesNo

Have you ever been convicted of a violent/sexual crime or a drug-related crime

YesNo

Do you owe money to previous landlord or utility company?

YesNo

Do you have a pet?

YesNo

Do you have money available to pay one-month’s rent as security deposit?

YesNo

When do you want to move?

Select a MonthJanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecemberany month

Year

Select a Year20172018201920202021any year

Any other information you would like us to know:

0 /

I understand that this is a prescreening form and not a formal application.Thistle staff will review my information and contact me regarding my eligibility for Thistle housing. I understand that I will be required to complete a Thistle application form if I am eligible.

I agree

YesNo

Submit Form

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