Tenant Referral

What Happens After You Send the Referral

Our team reviews the client information
We determine if a room may be available that fits their needs
If there is a potential match, we will contact you or the client to discuss next steps

Organization information

Name of Organization

Case Manager Name

Case Manager phone number

Case Manager email

What type of social situation fits your clients needs?

TeensAdultsSober LivingEx-OffendersAging CareLGBTQ OnlyWomen OnlyMen OnlyUnknownOther

Client Full Name

Does client require parking?

Client Monthly Income (Approx)

Date housing is needed

Minimum lease term

Client phone number

Client email

Client Employment Status

Client requires bedroom furniture

Ciy and/or State client is seeking housing in

Client has their own bedroom furniture to furnish the bedroom

Client is aware that this is shared housing. They will rent a private bedroom and will share common areas in a home.

By providing my phone number and email, I agree to receive text messages and emails from R&M Ventures LLC.

Your form has been submitted

PROPERTIES WITH PURPOSE

First Name

Last Name

Business/Program

Are you a

Property Owner

Community Partner

Tenant

Message

Thanks for submitting!

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