STEP 1 of 3

If you'd like to print a copy of the application, click here. You can drop off the application at any office or by faxing it to 812-331-7990.

*First Name:

Middle Name: *Last Name:

Phone:

*Primary Email:

Which is your preferred method for us to contact you? (choose all that apply)

Phone

Text message

Current address:

City:

State: Zipcode:

*Date of Birth:

List of people living with you

Name

Will you have any pets living with you? Yes No

How many dogs?

Breed(s)

How many cats?

Breed(s)

General Housing Application