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Tenant Application Form
Requirements/Costs
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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?
Yes
No
Is there a fee for your services?
Yes
No
Is the fee based on client income?
Yes
No
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
Reset attachments
Security code:
Submit