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The Westerly Affordable Questions (50%-2BR)
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* Indicates required question
First Name
*
Your answer
Last Name
*
Your answer
Email Address
*
Your answer
Phone Number
*
Your answer
Current Address
*
Your answer
City
*
Your answer
State
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DC
MD
VA
Other:
House Hold Size
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One Person
Two People
Three People
Four People
Five People
Six People
Annual Gross Income
*
Your answer
Do you receive rental assistance?
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Yes
No
Interested Home Type
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Studio
One Bedroom
Two Bedroom
Are you employed in DC?
*
Yes
No
If yes, please clarify employer
*
Your answer
Have you completed your IZ Orientation and have your certificate of completion? You will be asked to submit a copy of your IZ certificate, as it is a requirement to be added to the interest list.
*
Yes
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