Application

We are serving the DFW Metroplex but we accept referrals from across America.

Eligibility Requirements:

Social Security number

Verifiable Income Source

Active Email & Phone

Name *
Email *
Phone *
What do you identify as? *	Female Male Other
Last stable Adress or Adress on your ID *
Birthdate *
Emergency Contact Name and Phone *
Do you understand this is a shared living home? *	Yes No
Have you lived in shared living before? *	Yes No
We have house rules to govern the safety and harmony of the home? Would you abide by them? *	Yes No
Current Living Situation? *
How long would you like to be a guest at our home? *
How soon do you need housing? *
What is your monthly income? *
Funding Source *	Self-Pay Social Security Insurance (SSI) Disability Insurance (SSDI) Govt or State Assistance Non-Profit Organization- Rent Assistance
If you are self-paying for housing, please provide your employer’s information for income and stability verification
Employer Contact Number
Supervisor/HR Contact Name (Who to verify employment with)
Supervisor/HR Contact Phone Number (Direct line, if available)
Position/Job Title
Length of Employment
Have you ever been evicted before? *	Yes No
Have you ever been convicted of a felony? *	Yes No
If yes, Please explain
Do you have any outstanding warrants or pending criminal charges? *	Yes No
Primary Mode of Transportation? *	Public Transportion Personal Car
Do you smoke? *	Yes No
Do you understand that we do not allow smoking inside the home. *	Yes No
Our homes are non-smoking with no exceptions. You are allowed to smoke outside in the designated areas.
Are you currently taking any medications? *	Yes No
If yes, please list them
Please disclose any existing medical conditions or health concerns that we should be aware of.
Do you understand that this is a month-to-month room rental, and rent must be paid on time to maintain your housing? *	Yes No
Do you have the first month’s rent and non-refundable risk fee available today? *	Yes No
If no, when will you have it?
Please include any specific requirements or questions
How will you submit your documents? *	Upload Now Upload later via email
If you select "Upload Later," please be aware that your application will NOT be processed until we receive these required documents: ✅ Proof of Income – Pay stubs, bank statements, or SSI/SSDI award letter ✅ Government-Issued ID – Driver’s license, passport, or state ID ✅ Social Security Card – A clear copy is required If you are unable to upload your documents now, please submit them as soon as possible via: 📧 Email: documents@housingeverysoul.org
Please upload a copy of your ID or Drivers License, Copy of Social Security Card, Proof of income (Example: SSI/SSDI award letter, Pay Stub)	Max file size (Mb): 2 Max number of files: 1
By signing below, either personally or by proxy, I certify that all information provided in this application is true and accurate. I authorize Housing Every Soul to conduct a background check and verify my information. I acknowledge that the $25 background check fee is non-refundable. Sign Here *