ETHRA Housing Choice Pre Application

Please answer ALL questions on this form before submitting the pre-application. We need all information to be able to complete your documentation for the Housing Choice Program.

When filling out your mailing address, please make sure you are including the street address, city, state, and ZIP code.

If you're application is not fully completed, we may be unable to complete you pre-application. In that case, we are unable to place you on the waiting list.

If you have any questions, you can always reach out to Tina Kirk at 865-691-2551 (EXT 4332)

Housing Choice Voucher Pre-Application

Your Full Name*

Phone Number*

Email Address*

Mailing Address*

City*

State*

Zip Code*

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*

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

Donate because you care about your community and quality of life for all.

Donate Now

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