Apply For Housing

ATTENTION: THIS APPLICATION IS FOR HOUSING IN ALBANY, NEW YORK ONLY.
First Name:
Last Name:
Date of Birth:
Social Security Number:
Street Address:
City:
State:
Zip code:
Do you live in Albany?
Do you work or have a commitment for
a job in the city of albany?
Home Phone:
Work Phone:
Message Phone:
List all family members, including yourself, who will be residing in the household:
Name Ethnicity: Race Age Sex
Do you anticipate that any additional members will be added to the household within the next year?
If yes, please explain:
Are you or your spouse 62 years of age or older?
Are you or your spouse disabled?
has any adult member of your household worked 9 out of the last 12 months?
Are you a graduate or participant in a New York State recognized educational or employment training program?
Are you presently eligible for or receiving TANF or family assistance?
Did you receive or were you eligible to receive AFDC or JOBS during the past two years?
NOTE: TANF (Temporary assistance to needy families) replaced the welfare program known as ADC. TANF is only for households with minor children. (Safety net is NOT TANF)


Income Information: Sources of income include wages, self-employment income, welfare (TANF if you have minor children), other welfare such as home relief (HR is not TANF), Social Security, SSI, Pensions, income from interest or dividends, child support, foster care payments, annuities, financial aid, etc.

List the type, amount and frequency of all income received from any family member who will be living with you, including yourself.
Name Type of Income: Yearly Amount
Self

Special unit requirement(s) questionnaire

Do you, or does any member of your family require a handicap accessible apartment
If yes, complete the following:  

Do you, or does any member of your family have a condition that requires:

  

A separate bedroom

A barrier-free apartment

One-level unit

Physical Modification to a typical apartment

Unit for vision impaired

Unit for hearing impaired

BR/Bath on 1st Floor

Can you and all your family go up and down stairs unassisted

If no, please indicate how the AHA should accommodate your family:

Will you or any of your family members require a live-in aide to assist you?

If yes, please explain

If you checked any of the above listed categories of units, please explain exactly what you need to accommodate your situation:

What is the name of the family member who needs the features identified above?

Who should be contacted to verify your need for the features you have identified above? (name, address and phone)

In addition to applying for housing at one of our public housing developments, you may also apply for one of our affordable housing sites assisted through the HUD project-based Section 8 program.   These units are available at townsend park homes and creighton storey homes.  This program offers rent based on income according to Section 8 guidelines.   Section 8 assistance will be provided only while you reside in the apartment and will not be portable as other Section 8 assistance may be.

Would you like your name added to the project-based voucher waiting list?

Please add my name to the project-based voucher waiting list for Townsend Park Homes (high rise building located at 45 Central Ave. For seniors age 62 or older, or at least 55 years of age and disabled)
Please add my name to the project-based voucher waiting list for Creighton Storey Homes (1, 2, 3, 4, or 5 bedroom units located in Garden Style Apartments at 150-168 Third Avenue) Yes No