Tenant Application Form

Thank you for your interest in becoming a tenant at Community Connections!
Please be sure to fill in all required fields.

Agency/Organization Name

Current Address

Email Address

Agency Director

Director Phone Number

Agency Contact Person

Contact Person Email Address

Contact Person Phone Number

Additional Contact Person

Additional Contact Person Email Address

Additional Contact Person Phone Number

Mission of Organization/Agency:

How long has your agency been operating?

Are you a 501(c)(3) organization?

Is there a fee for your services?

Is the fee based on client income?

Number of employees:

Number of people served daily:

Room requested:

Square footage:

Monthly rent:

Occupancy date:

Provide list of Board of Directors, if applicable:

Provide most recent financial reports OR proof of ability to pay:

Provide 3 references who are familiar with the organization:

Please give a brief description of the services you will provide:

Select files to attach

Size limit for each file is 100 MB

Security code: