Accepting Applications – Affordable Senior Living in Downtown Hayward

Do you understand you have the Right to Reasonable Accommodation/Modification – If you have a disability and as a result of your disability you need (1) a change in rules or policies, (2) a change or repair in your apartment, (3) a change or repair to some other part of the property, and if you can show that your request is reasonable we will try to make the changes you request.

Do you understand you have the Right to Receive Free Interpreter Services – If you or any member of your household need language assistance, CCH will take reasonable steps to provide meaningful access to Limited English Proficient (LEP) individuals to ensure that language will not prevent staff from communicating effectively and to ensure safe and orderly operations, programs, meetings, events or activities and understanding of rules, regulations and information.

Management does not discriminate on the basis of disabled status in the admission or access to housing, services, or treatment or employment in, its federally assisted programs or activities. The Section 504 Coordinator who has been designated to coordinate compliance with the non-discrimination requirements contained in the Department of Housing and Urban Development’s regulations implementing Section 504 (24 CFR Part 8, dated June 2, 1988)

Do you understand and agree that your name will only appear once on any application submitted for this property and if it were to appear on more than one application, all applications will be removed from the property’s lottery or waiting list.

Have you lived at the address provided for at least two (2) years?

Do you have a second occupant? If no, you can click leave remaining fields blank and click on Next.

(1) I/we understand the information collected on the Application is to determine my/our eligibility for residency (2) I/we certify the statements made in this application are true and complete to the best of my/our knowledge and belief (3) I/we understand that false statements/information will deem me/us ineligible or terminate the rental agreement.

(4) I/we certify that only those persons listed in this application will occupy the apartment, we will maintain no their place of residence, and there are no other persons for whom we have or expect to have responsibility for providing housing (5) I/we understand we must provide written notification of any changes to the information on this form (6) I/we understand that this application does not constitute any oral and/or written commitment on the part of the Owner or Management Agent.

I/we understand that we will be placed on a waiting list(s) based on our household size and in accordance with the Resident Selection Criteria/Tenant Selection Plan. For example, 1-person household will be placed on a studio and one-bedroom waiting list or 2 persons on studio, one-bedroom, and two-bedroom.

I/we authorize the owner, its agents and employees to make any and all legal inquiries to verify information either directly or through information exchanged now or later with rental, or credit screening services, or law enforcement or other public agencies, and to contact previous or current landlords or other sources for credit and/or verification information which may be released by appropriate federal, state, local agencies, or private persons to the management.

(1) I/we understand, pursuant to any federal, state, or local “Fair Chance Ordinance”, if I am considered housing eligible, I authorize the owner, its agents, and employees to obtain information about my/our criminal background to see if there is any disqualifying criminal history, which may affect me/us from moving onto the property, in compliance with the Resident Selection Criterion (2) I/we understand that any owner inquiry about any prior arrest or conviction record will not be used and/or verified until all other housing eligibility has been approved pursuant to any federal, state, or local notice of such “Fair Chance Ordinance” or rules.

I/we understand that any questions or inquiries regarding applicant treatment relative to Section 504 of the Rehabilitation Act of 1973 should be addressed by mail to the CCH 504 Coordinator; 1855 Olympic Boulevard, Suite 200; Walnut Creek, CA 94596; ((510) 632-6712; TTY via 711 National Relay.

I/we authorize the owner, its agents, and employees to obtain one or more consumer reports as defined in the Fair Credit Reporting Act, 15 U.S.C. Section 1681a(d), seeking information on our creditworthiness, credit standing, credit capacity, character, general reputation, personal characteristics, or mode of living.