Application

All sections must be filled out completely. You must have a minimum household income of $22,000 per year to qualify for a 1 bedroom apartment or $24,000 per year to qualify for a 2 bedroom apartment.

Project Freedom at Trent Center is housing designed for people with disabilities who use wheelchairs or other mobility devices. Project Freedom at Trent Center provides accessible, affordable housing with supportive services whereby self-directed people with disabilities can live in a non-medical environment.

Please explain how you qualify for this type of housing:

Please answer the following questions:

Have you, or members of your household, ever been evicted?

Have you, or members of your household, ever been convicted of a crime?

Do you, or members of your household, require a barrier-free apartment?

Will this be your family's only residence?

Do you, or members of your household, use a wheelchair or other mobility device?

Do you have rental assistance or a section 8 housing voucher?

Please list all members who will reside in the apartment, even those who will live part-time or temporarily:

Please list all sources of household income:

Release of information statements by all household members age 18 and older:

attest that the information provided in this pre-qualifying application is true, and to the best of my/our knowledge, is correct and complete. I/We verify that I/We will provide prompt notice to Project Freedom at Trent Center to contact any source listed for the sole purpose of verifying the information I/We have provided in this pre-qualifying application. I/We understand that I/We have a responsibility to remain in contact with Project Freedom at Trent Center when requested.

I/We authorize management to obtain one or more "consumer reports" as defined in the fair credit reporting act, 15 U.S.C. Section 1681(d), seeking information on my/our credit worthiness, credit standing, credit capacity, character, general reputation, personal characteristics or mode of living.

If my/our application is approved, and move-in occurs, we certify that only those persons listed on the pre-qualifying application will occupy the apartment, that they will maintain no other place of residence, and that there are not other persons for whom we have, or expect to have, responsibility to provide housing.

Fair credit reporting act: This is to inform you that as part of our procedure for processing your pre-qualifying application, an investigative report may be made whereby information is obtained through personal interviews with 3rd parties, such as family members, business associates, financial sources, friends, neighbors or other who are acquainted with you. This inquiry includes information as to your character, general reputation, personal characteristics, mode of living, income and credit background and also police and landlord tenant court actions. All information you or others give us will be held in strict confidence.

We do not discriminate on the basis of race, religion, national origin, color, creed, age, sex, handicap or familiar status.

The New Jersey Law Against Discrimination, N.J.S.A. 10:5-1 to -49, makes it unlawful to discriminate in the sale or rental of housing based on a person's race, creed, color, national origin, ancestry, nationality, affectional or sexual orientation, disability, gender, marital status, familial status (whether you have a child, a parent-child relationship with a minor, or you are pregnant), lawful source if income or rental subsidy used for rental payments.

The New Jersey Division on Civil Rights is the State agency that is authorized to enforce the Law Against Discrimination. Under the Division's Multiple Dwelling Reporting Rules, N.J.A.C. 13:10-1.1 to -2.6, the Division requires landlords to collect and record information about applicants for apartment rentals and tenants in apartment complexes throughout New Jersey. The Multiple Dwelling Reporting Rule requires landlords to provide a summary of this information to the Division and to retain the information on this form. The information is used to prevent and eliminate discrimination in housing. Your cooperation in filling out this form will assist the Division in enforcing the Law against Discrimination.

Please note that, although landlords must record certain information about the race and ethnicity of applicants and tenants, it is unlawful to record or ask applicants or tenants about other characteristics such as religion, gender, marital status or affectional or sexual orientation.

If you feel you have been denied housing or treated differently for one of the reasons listed above, you may contact the Division on Civil Rights at (609) 984-3138 for referral to a local Division office for additional information or assistance.

If the tenant/applicant chooses not to complete this form, the landlord or the landlord's representative is required to conduct a visual observation of the tenant or applicant and then complete this form as accurately as possible.

This form is not intended to be part of the rental application process and must be kept separate and apart from rental records.