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