Tenant First Name- Enter the first name of the tenant seeking housing.
Tenant Email- Enter the email address of the tenant seeking housing.
Worker Name- Enter the name of the agency representative completing the form.
Worker Email- Enter the email of the agency representative completing the form.
Type- Enter the type of tenant applicant, “Family” (with dependents under age 18), “Individual” (no
children), or “Senior” (over age 65).
Race- Enter the race the tenant identifies as, this field is optional.
Gender- Enter what gender the tenant identifies as, “Female”, “Male”, “Trans”, or “Other”.
Sexual Orientation- Enter the sexual orientation the tenant identifies as, “Heterosexual”, “Lesbian”,
“Gay”, “Bisexual”, “Trans”, “Queer”, or “Asexual”.
Smoker? If the tenant smokes, enter “Yes”, if the tenant does not smoke, enter “No”
Language Needs? If the tenant needs to communicate in a language other than English,
enter “Yes”, if not, enter “No”. If “Yes”- Enter the specific language in the text box.
Preferred Location- Choose the neighborhood or area that is the tenant’s first choice to relocate, or
choose “Any location”, if the tenant is flexible.
Maximum Rent Amount- Enter the maximum amount the tenant can pay in monthly rent. Do not
include the dollar sign ($).
Security Deposit? If the tenant is currently able to pay a security deposit, enter “Yes”. If the tenant
cannot pay a security deposit, enter “No”.
Number rooms- Enter the number of rooms the tenant is seeking to rent.
Move-in Day- Enter the date the tenant will be ready to move. Note: scrolling may change this date.
Children? - If the tenant has children (dependents, under age 18), enter “Yes”. If the tenant does
not have children, enter “No”.
Number of children- If the tenant does not have children, enter “0”. If the tenant has children, enter
the number of children in the family.
Gender and ages- If the tenant does not have children, enter “n/a” for “not applicable”. If the tenant
has children, enter the gender and age of each child- for more than one child use commas to
separate children. (i.e.: girl6, boy4, boy3)
Information- (Limit text to 120 words):
Name: Lists the name of the contact person for the rental unit.
Phone: Lists the primary phone number of the contact person.
Fax: (Optional) lists the fax number available, if any.
Email: Lists the email address for the contact person.
Agency Name: (Optional) lists the name of the agency that referred the contact person, if any.
My Ads: Click here to view and edit ads.
Post an Ad: Click here to submit a new ad for approval.
Edit personal info: Click here to change any information in the profile.
Change password: Click here to change the password.
Contact Admin: Click here to send an email message to admin@housingmatch.org.
Tenant ID#-This is the 10 digit number assigned to the tenant when the account was created.
Created on-This is the date the account was approved by HousingMatch.org administrators.
Type-Enter the type of tenant account, F=Family, I=Individual, S=Senior.
Housed-Has the tenant signed a shared housing rental agreement and moved into a new unit? Y=Yes, N=No
Date Housed-Enter the date when the tenant became housed and moved into a new unit.
Follow Up-Is there going to be a follow up meeting with the tenant to see if they are stabilized in their housing in 3-6months? Y=Yes, N=No
Survey-Will the tenant agree to take an anonymous survey in 6 months from the date they were housed? Y=Yes, N=No
Tenant ID#- the 10 digit Tenant ID# from the HM Assessment form.
Member ID#-the 10 digit Member ID# from the HM Assessment form.
Case Manager Name- the first and last name of the agency representative.
Case Manager Email- the email of the agency representative.
Agency Name- the name of the referring agency.
Agency Code #- the 6 digit code number assigned to the agency, see supervisor.
Reg. Date – enter today’s date as the date to add the new tenant account.
Terms of Service- read by clicking highlighted area and check “I agree” before submitting the new tenant account request.
In-Place ID#- the 10 digit In-Place ID# from the HM Assessment form.
Member ID#-the 10 digit Member ID# from the HM Assessment form.
Case Manager Name- the first and last name of the agency representative.
Case Manager Email- the email of the agency representative.
Agency Name- the name of the referring agency.
Agency Code #- the 6 digit code number assigned to the agency, see supervisor.
Reg. Date – enter today’s date as the date to add the new tenant account.
Terms of Service- read by clicking highlighted area and check “I agree” before submitting the new tenant account request.
In-Place First Name- Enter the first name of the tenant seeking housing.
In-Place Email- Enter the email address of the tenant seeking housing.
Worker Name- Enter the name of the agency representative completing the form.
Worker Email- Enter the email of the agency representative completing the form.
Type- Enter the type of tenant applicant, “Family” (with dependents under age 18), “Individual” (no
children), or “Senior” (over age 65).
Race- Enter the race the tenant identifies as, this field is optional.
Gender- Enter what gender the tenant identifies as, “Female”, “Male”, “Trans”, or “Other”.
Sexual Orientation- Enter the sexual orientation the tenant identifies as, “Heterosexual”, “Lesbian”,
“Gay”, “Bisexual”, “Trans”, “Queer”, or “Asexual”. This field is optional.
Smoker? If the tenant smokes, enter “Yes”, if the tenant does not smoke, enter “No”
Language Needs? If the tenant needs to communicate in a language other than English,
enter “Yes”, if not, enter “No”. If “Yes”- Enter the specific language in the text box.
Children? - If the tenant has children (dependents, under age 18), enter “Yes”. If the tenant does
not have children, enter “No”.
Number of children- If the tenant does not have children, enter “0”. If the tenant has children, enter
the number of children in the family.
Gender and ages- If the tenant does not have children, enter “n/a” for “not applicable”. If the tenant
has children, enter the gender and age of each child- for more than one child use commas to
separate children. (i.e.: girl6, boy4, boy3)
Landlord First Name- Enter the first name of the landlord or property owner for the rental.
Landlord Email- Enter the landlord’s email address.
Rental Location- Choose the neighborhood or area where the rental is located.
Rent Amount- Enter the total monthly rent amount for the room(s) for rent.
Number of Rooms- Enter the number of rooms available for rent.
Date Available- Enter the date the room(s) will be available for a new tenant to move in.
Total Move-In costs- Enter the total dollar amount to move in to the rental that the landlord requires
which may include first and last month’s rent, security deposit, and any fees.
Utilities Included?- Are any utilities included in the monthly rent amount, Enter “Yes” or “No” in
response.
First floor apartment?- Is the unit located on the first floor? Enter “Yes” or “No” in response.
Security Deposit? Is a security deposit required to move in to the unit? Enter “Yes” or “No” in
response.
Information- (Limit text to 120 words):
housing compliance information.