Freedom Housing Application Form.

MISSION STATEMENT: At Freedom Housing, we aim to empower individuals and families experiencing homelessness or housing instability by providing safe, supportive, and affordable housing options. We believe in fostering dignity, independence, and opportunity for all, while supporting long-term recovery and personal growth.

Name

First Name

Last Name

Phone

(###)

###

####

Email

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Additonal Information

Please briefly explain why you are applying for non profit housing and how this support would benefit your housing needs.

Household Composition:

Total Number of Members, Names and Ages of all HouseHold Members:

Income and Employment

Current Employer (if applicable) Job Title and Monthly Income. Other sources of Income (e.g., benefits, SSI, Child Support

Housing History:

Current landlord name, Landlord contact number,Length of stay at current residents, reason for leaving:

Personal References

"NON-DISCRIMINATION POLICY: This organization is committed to providing equal housing opportunities without discrimination based on race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, marital status, familial status, or any other protected characteristic under applicable law. We strive to foster an inclusive and supportive housing environment for all applicants."

Freedom Housing Application Form.

Owensboro, Ky

Elizabethtown, Ky

Louisville, Ky