MCH Single Family-Congregate Homes Application

Application for Medina Creative Living II

Medina Creative Housing Single Family/Congregate Homes 

RENTAL APPLICATION

Please complete this rental application in its entirety.  Upon receipt of your completed application and related documents, we will make a preliminary determination whether you meet the eligibility requirements to live at Medina Creative Housing (MCH).    


HOUSEHOLD COMPOSITION:

-OR- You must be willing to share the unit with roommate(s) and MCH will try to match you with a compatible roommate.

RENTAL INFORMATION:  

Personal Information: 

Income: 

I hereby CERTIFY that the information stated in this application is true and correct to the best of my knowledge.  I understand and agree that if any of the information I have provided in this application is found to be incomplete, incorrect or false, it will be grounds for denial of this application or termination of my tenancy.  I also hereby authorize the owner and / or owner’s agent to conduct a credit check; to call previous landlords; and to verify any other information that I have provided on this application.  I further understand that this application does not guarantee housing. 

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