Housing Application

As of July 2020 we are accepting Housing Applications

Fastest Application Processing is with the downloadable forms and submitting by mail.

The online application is also available for those without printing capability; but will require follow up time.

Online Housing Application



    Current Address*



    Do You Smoke?*

    Do you have Special Needs? *

    Emergency Contact #1

    Emergency Contact #1

    Emergency Contact #1

    Emergency Contact #2

    Emergency Contact #2

    Emergency Contact #2

    Have you ever tested positive for Hepatitis, HIV or currently have a contagious disease?*

    Do you have a POV?*



    NOTE: If you plan to bring your vehicle, Lady Veterans Connect is required to be added to the insurance policy.


    Understanding (please check each box):

    ​Additional information will be required.
    Someone will be contacting you to complete the application process; OR feel free to download and submit the complete application.
    Best to reach me by: *


    Date*

    Other Resources

    VA Women Veterans Call Center 
    1-855-VA-WOMEN (829-6639)

    VA Crisis Line 
    1-800-273-8255 press 1

    VA Benefits   
    www.benefits.va.gov/benefits

    VA Center for Women Veterans   
    202-461-6193
    www.va.gov/womenvet

    Dept. of Health & Human Services
    Office on Women’s Health
    www.womenshealth.gov

    Domestic Violence Hotline            
    800-799-SAFE (7233)
    www.thehotline.org

    Service Women’s Action Network (SWAN)
    646-569-5200
    www.servicewomen.org

    VA Woman Veterans Health Care
     www.womenshealth.va.gov

    VA Locations       
    www.va.gov/directory

    VA National Center for PTSD
    www.ptsd.va.gov

    Women’s Bureau, U.S. Dept. of Labor
    www.dol.gov/wb

    Office on Violence Against Women
    U.S. Department of Justice
    www.usdoj.gov/ovw

    Defense Advisory Committee on
    Women in the Services
    http://dacowits.defense.gov

    Women’s Research & Education Institute www.wrei.org/militarywomen.htm

    Women in Military Service for America
     www.womensmemorial.org