Apply for shared living

This initial application helps us understand your housing needs and determine whether Homes for Vets may be a good fit. It usually takes 8–12 minutes.

Your privacy matters. We do not request your Social Security number, bank information, or medical records through this form.

Personal information

Tell us how to reach you.

First name *Last name *Date of birth *Phone number *Email addressCurrent city or town *

Best way and time to contact you

Military service

Basic service information helps us coordinate veteran-focused resources.

Branch of service *Years of serviceDischarge statusEnrolled with VA health care?

Housing situation

Help us understand your current and recent housing needs.

Current living situation *

How long without stable housing?Desired move-in datePreferred areaPrior eviction or landlord issue?

What led to your current housing situation?

Income and benefits

This information helps identify possible placement and payment options.

Current income sources

Approximate monthly income rangeHousing program or agency involved?

Shared-living needs

These questions help us evaluate safety, accessibility, and household fit.

Can you independently manage daily activities? *Can you manage your own medications?Currently on probation or parole?Registered sex offender or arson conviction? *

Accessibility needs, service animal, recovery supports, or other considerations

A “yes” answer does not automatically disqualify an applicant. We review each situation individually for appropriate placement and household safety.

Emergency contact and referral

Provide a trusted contact and any professional helping with your housing search.

Emergency contact name *Relationship *Emergency contact phone *Referring organizationCase manager or referrer nameReferral phone or email

Anything else we should know?

Apply for shared living

Personal information

Military service

Housing situation

Income and benefits

Shared-living needs

Emergency contact and referral

Applicant acknowledgment