Rental Inquiry - Oakland Haven

First name*

Last name*

Email Address*

Your phone number*

Are you age 55 or older?*

Yes

No

This is a women-only shared living environment. Are you comfortable with this?*

Yes

No

This home is a smoke-free, drug-free, and alcohol-free environment. Can you comply?*

Yes

No

Pets are not allowed. Can you comply?*

Yes

No

Overnight guests are not permitted. Can you comply?*

Yes

No

Are you able to provide verifiable income or housing assistance documentation?*

Yes

No

A routine background report is required for identity and safety purposes. Findings do not automatically disqualify applicants. Are you willing to complete this step?*

Yes

No

What is your preferred move-in date?*

How long are you seeking to stay?*

3-6 months

6-9 months

9 months or longer

Do you have a vehicle or expect to need parking?*

Yes

No

Briefly describe your current housing situation.*

This form helps determine initial compatibility with our shared-living environment. It does not collect any protected information beyond what is required for age-restricted housing under the Housing for Older Persons Act (HOPA). Qualified inquiries will be invited to complete the full application.

Rental Inquiry - Oakland Haven

Solar Plexus Development