Welcome to Cohaven

This application helps us determine if you’re a strong fit for our shared housing community. Please complete all sections honestly.

Qualified applicants will be invited to schedule a showing.

Full Name *

Current Address *

Date Of Birth *

SSN Number *

Phone Number *

Email *

Desired Housing Details

Preferred Move-In Date *

Zip Code(s) of Choice *

This will enable us to pair you with a property closest to your zipcode of choice

Are you applying for: *

Private Room

Private Room w/ Bathroom

Shared Room

Current Living Situation

Reason for Moving *

Current Landlord Name *

Current Landlord Phone Number *

Current Landlord Monthly Rent *

$

Pets

Do you have pets? *

Yes

No

Employment Status

Employment Status *

Full-Time

Part-Time

Self-Employed

Student

Unemployed

Employer Name *

Employer Phone Number *

Supervisor Name *

Supervisor Contact Number *

Your Monthly Gross Income *

$

Additional Income Sources

Side Income *

Yes

No

Government Assistance *

Yes

No

Family Support *

Yes

No

Screening

Any prior evictions? *

Yes

No

If yes, explain *

Do you smoke? *

Yes

No

Do you use recreational drugs? *

Yes

No

Typical Work Schedule *

Day

Night

Remote

Occupancy Details

Will anyone else be living with you? *

Yes

No

Name (who will be living with you) *

Relationship (who will be living with you) *

Age (who will be living with you) *

Emergency Contact

Relationship (Emergency Contact) *

Full Name (Emergency Contact) *

Phone Number (Emergency Contact) *

Email (Emergency Contact) *

File Uploads

ID (Driver’s License / Government ID) *

Click to upload

PDF, DOC/DOCX, XLS/CSV, JPG/JPEG, PNG, GIF

Income Verification (2 most recent paystubs, earnings, etc.) *

Click to upload

PDF, DOC/DOCX, XLS/CSV, JPG/JPEG, PNG, GIF

Vehicle Information (Registration & Insurance, if applicable) *

Click to upload

PDF, DOC/DOCX, XLS/CSV, JPG/JPEG, PNG, GIF

Agreement & Certification

1:All Information is Accurate and Complete *

I certify all information is accurate and complete

2:Verification of Employment *

I authorize verification of employment, income, and rental history

3:Background and Credit Screening *

I consent to background and credit screening

4:Submission does Not Guarantee Approval *

I understand that submission does not guarantee approval

Digital Signature *

Date of Signature *