ETHRA Housing Choice Pre Application

Housing Choice Voucher Pre-Application

Your Full Name*

Phone Number*

Email Address*

Mailing Address*

Your Birthdate*

Age*

Sex*

Race*

Total Number of People in Your Household*

This is the total number of people in your home, including yourself.

Have you been involuntarily displaced due to a natural disaster (fire, flood, tornado, storm, earthquake, etc) within the last six months?*

Please Select the County Where You Would Like To Live*

Other:

Are you or your spouse disabled? *

What Best Describes Your Current Housing Arrangements? *

What is your household's total monthly income? *

This should be a TOTAL of all the income available for EACH person who will live with you (or your best estimate at the time of applying).

Acknowledgement*

Before you submit this application, please acknowledge that you have read the document "HOW THE HOUSING CHOICE PROGRAM WORKS" available on the right side of this page.

I acknowledge that I have read the "HOW THE HOUSING CHOICE PROGRAM WORKS" document.

DOCUMENT TO ACKNOWLEDGE

HOW THE PROGRAM WORKS

Contact

Tina Kirk
865-691-2551 ext 4332
tkirk@ethra.org

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We'd like to hear from you. If you have a comment, contact our knowledgeable staff.

9111 Cross Park Drive, Suite D-100
Knoxville, TN 37923
(865) 691-2551
(800) 848-0298 TTY
(844) 309-0416