Join Our Waitlist

Apply for Housing with ThrivHive

Take the first step towards secure, affordable housing. Our application process is straightforward and designed to match you with the best available options.

1. Apply

Complete the application form

2. Review

We review your application

3. Match

Get matched with housing

Housing Application Form

Please provide accurate information to help us find the best housing match for you. All information is kept confidential and secure.

Client Information

Client's Name - First Name *

Last Name *

Email *

Client's Gender *

Client's Phone Number *

Please enter a valid phone number.

Do we have permission to text/leave a message on the number provided? *

Race *

Date of Birth *

Social Security Number *

Marital Status *

Present Address

Street Address

City *

State *

Who do you currently pay rent to? - Name

Phone Number

Referral Information (Optional)

I have a referral source assisting with this application

Employment Information

Employment Status *

I am currently employed I am not currently employed

Housing Information

Client's Current Living Situation *

What type of room does the client prefer? *

When does client need to be placed? *

Financial Information

How will the client pay? *

How much income do you receive monthly? If none please type NONE *

Is an agency/organization providing funding?

Yes, an agency/organization is providing funding

Health / Medical Insurance Provider

Medical Assistance

PAC

Other

Health & Disability Information

Description of Medical Mental Diagnosis

Substance Abuse/Mental Health Treatment History

Agency

Physician Name

Address

Phone

Agency

Therapist

Address

Phone

Have you ever experienced any substance abuse or been diagnosed with any mental illness? *

If so, please describe

Are you disabled? *

List disability(s)

Does client require a Handicap Accessible living environment? *

Additional Information

Is there any other information you want to share with us? (dietary preferences, handicap, military, senior citizen etc.) *

If yes, please provide details

I confirm that all information I have provided in this form is accurate and true to the best of my knowledge. I understand that providing false or misleading information may affect my eligibility for housing or services through ThrivHive. *

I consent to ThrivHive sharing this information with partner organizations as needed to provide requested services.