Americorps Housing Application

Application- Americorps Housing at ICA

Contact Information

* Indicates required field

First Name *

Last Name *

Organization (if applicable) *

Email *

Current Zipcode *

Phone Number *

Renting History

You may be asked for a housing reference. Are you able to provide one? *

No Yes

Have you been previously evicted? *

No Yes

Commitment Details

Are you currently or in the process of becoming an AmeriCorps member (example. Public Ally)? *

No Yes

Move-in date

Day *

Month *

Year *

Move-out date

Day *

Month *

Year *

About You

Please briefly tell us what attracts you to living at the ICA *

Have you ever lived in an intentional community before? *

Yes No

Please share any questions or additional information *

We will contact you regarding your application within two business days. Thank you for inquiring about living at the ICA.