Mashpee Wampanoag Village Rental Application

Applicants must be program and project eligible, meeting all program requirements set forth for this property.

An application will not be complete, and will not be acted upon if the applicant fails or refuses to provide all necessary documents or authorizations.

Additionally, all applicants MUST complete the full application process which includes:

  • Landlord reference: for past five years, or last two residences, whichever is more inclusive
  • Check of credit history
  • Verification of income and assets
  • Any and all other 3rd party verifications required to participate in the program and project
  • Check of sex offender registry
  • Check of criminal charges

Information provided on the above referenced reports, or by 3rd party verifications will further influence your eligibility and acceptance to the program.

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Mashpee Wampanoag Village Housing Application

Applicant Information
Applicant Name *
Applicant Name
Applicant Address *
Applicant Address
Applicant Date of Birth *
Applicant Date of Birth
Applicant Phone Number *
Applicant Phone Number
Applicant Current Landlord Information
Current Landlord Address *
Current Landlord Address
Current Landlord Phone Number *
Current Landlord Phone Number
Household Information #1
Please provide information on each member of your household
Full Legal Name
Full Legal Name
Sex M/F
Birthdate
Birthdate
Student Y/N
Household Information #2
Please provide information on each member of your household
Full Legal Name
Full Legal Name
Sex M/F
Birthdate
Birthdate
Student Y/N
Household Information #3
Please provide information on each member of your household
Full Legal Name
Full Legal Name
Sex M/F
Birthdate
Birthdate
Student Y/N
Household Information #4
Please provide information on each member of your household
Full Legal Name
Full Legal Name
Sex M/F
Employment
List all full and part time employment for all household members
Household Member
Household Member
Please provide the gross earning per week.
$
Household Member
Household Member
Please provide the gross earning per week.
$
Sources of Other Income
List other sources of income for all household members
Household Member
Household Member
Please provide gross earnings per week
$
Household Member
Household Member
Please provide gross earnings per week
$
Assets
List all assets including but not limited to: cash, checking and savings accounts, term certificates, money markets, stocks, bonds, real estate holdings, cash value of life insurance policies, etc.
Household Member
Household Member
Household Member
Household Member
Preferences
Do You Qualify for the Following Mashpee Wampanoag Village Preferences *
Before being granted a preference, you will be given the opportunity to show that you qualify for these preferences.
Emergency Contact
Emergency Contact Name *
Emergency Contact Name
Emergency Contact Address *
Emergency Contact Address
Emergency Contact Phone Number *
Emergency Contact Phone Number
Questionnaire
Have you or a member of your household ever been charged with a crime? *
Do you or a member of your household currently use illegal drugs or other illegal substances as defined by the federal government? *
Have you or a member of your household disposed of any assets for less than fair market vallue in the last two years? *
Are you or a member of your household subject to a lifetime sexual offender registration? *
Has your housing assistance in a subsidized housing program ever been terminated?
The Department of Housing and Urban Development (HUD) requires the Mashpee Wampanoag Tribe Housing Department as management agent to report the race and ethnicity of all applicants. This information will be used by HUD to monitor Mashpee Wampanoag Tribe Housing Department's compliance with Equal Housing Opportunity and Fair Housing Laws. Your desire to provide this information is optional and will have no bearing on your eligibility for housing at this community.
Authorization
Applicant Authorization
I understand that this is a preliminary application and that a complete credit, criminal and eviction inquiry will be made. This information must be satisfactory according to the Resident Selection Policy before my application can be approved. Additonal information may be requested at a later date to complete processing the application. I certify that the foregoing is true and complete to the best of my knowledge. I authorize inquiries to be made to verify the above statements.