Membership Application – Can I Live Housing Authority

"*" indicates required fields

Billing Point of Contact Name*

First Last

Agency Name*

Billing Point of Contact Phone*

Billing Point of Contact Email*

Billing Point of Contact Address*

Street Address Address Line 2 City State Zip Code

Council / Advisory Board Contact Name*

First Last

Community Name*

Council / Advisory Board Contact Phone*

Council / Advisory Board Address*

Street Address Address Line 2 City State Zip Code

How many resident councils are you looking to apply for?*

Please enter a number greater than or equal to 1.

Do your councils have access to basic technology (i.e. desktop/laptop and wifi/internet)?*

Yes

What kind of community do you represent?*

Family community

Senior high-rise community

People's with disability high-rise community

A mixture of all above

What issues would the residents like to see addressed by the Resident Association?*

Crime & Safety

Maintenance

Economic Opportunities (i.e. training, employment and contracting)

Youth Opportunities

Becoming more involved with the redevelopment

Ensure residents get first rights to return after relocation

Overall improvement of quality of life

Other

Issues Other*

Any additional information you want to provide?

Membership Agreement*

By submitting this application for membership, you agree that the information you provided is true and exact to the best of your knowledge. You also agree to attend and engage in weekly/monthly training sessions and watch recordings from any missed series. You also agree to participate with other leaders in our private community. You agree to share what is working in your local community with other leaders and be a positive force for change. You will stay away from negative discord and division and will work to improve the quality of life for residents who live in your local communities.

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Resident/Tenant Council Membership Application

EP. # 48 “BUILD BACK BETTER?”

EP. # 47 WHAT ABOUT THOSE VACCINATIONS?

EP # 46 OOPS UPSIDE YOUR HEAD- STOP PLAYING GAMES!