Apply to Join Harbor Halo

Begin your journey to stable housing in our supportive community

Eligibility Requirements

Valid Government ID
Social Security Card
Verifiable Income Source
Background Check
Active Email & Phone
Bank Account, Debit Card or Credit card to make rent payments

Start Application

What We Provide

Private & Shared Rooms
All Utilities Included
Furnished Living Spaces
Secure Environment
Community Support

Start Application

Member Application

Application Date

Full Name

Phone

By providing my phone number and signing this form, I consent to receive text messages from Harbor Halo regarding my application, housing updates, reminders, and important membership information. I understand that message frequency may vary, and I may reply STOP at any time to opt out.

Last Address

Please list your last stable address or the address on your ID

What do you identify as?

Male

Female

Other

Birthdate

Month

Day

Year

Last 4 of Social Security Number

We use the last 4 digits to match your identity. Your full SSN will be collected securely during the background check process. Please do not email or text your full SSN.

A copy of your Social Security card or official documentation showing your full SSN must be uploaded in the “Submit Documents” section. We cannot complete your approval without verified SSN documentation.

Emergency Contact Name and Phone Number

Do you understand this is a shared living home

Yes

Have you lived in shared housing before?

Yes

We have house rules to govern the safety and harmony of the home? Would you abide by them?

Yes

Current Living Situation?

Living with Family

Living with Roommates

Group Home Shared Living

Homeless with no permanent housing

How long would you like to be a guest at our home?

1-3 months

4-6 months

7-12 months

1-2 years

How soon do you need housing?

How many people do you need housing for?

What is your monthly income?

If you are self-paying for housing, please provide your employer’s information for income and stability verification. Please Note: You will need to provide us with proof of income- check stubs, redacted bank statement, etc and we will verify your employment. You must have a stable income to qualify for our housing.

Employer Name

Employer Contact Number

Supervisor/HR Contact Name (Who to verify employment with)

Supervisor/HR Contact Phone Number (Direct line, if available)

Position/Job Title

Length of Employment

Have you ever been evicted before?

Yes

If yes, when

Have you ever been convicted of a felony?

Yes

If yes, Please explain

Do you have any outstanding warrants or pending criminal charges?

Yes

If yes, please explain

Do you have an animal that will need to live with you. If yes, please specify the type of animal:

Pet

Emotional Support Animal (ESA)

Service Animal

If you selected ESA or Service Animal, documentation will be required.

Primary Mode of Transportation?

Public Transportation

Personal Car

Do you smoke?

Yes

Do you understand that we do not allow smoking inside the home.

Yes

Our homes are non-smoking with no exceptions. You are allowed to smoke outside in the designated areas.

Are you currently taking any medications?

Yes

If yes, Please list them

What side of town are you interested in?

Riverdale, GA

Atlanta, GA

Do you understand that this is a month-to-month room rental, and rent must be paid on time to maintain your housing?

Yes

Do you have the first month’s rent and non-refundable risk fee available today?

Yes

If no, when will you have it?

Please include any specific requirements or questions

Were your referred? If so, type your referrals name in the box below.

If you were referred by an organization, please list the organization or caseworker's name. Verified referrals do not require a background check fee or application fee.

If you were not referred, please tell us how you heard about us?

Coupon Code

SUBMIT DOCUMENTS

How will you submit your required documents?

Upload Now

I will submit later via email or upload link

📌 If you select "Upload Later," please be aware that your application will NOT be processed until we receive these required documents:

✅ Proof of Income – Pay stubs, bank statements, or SSI/SSDI award letter

✅ Government-Issued ID – Driver’s license, passport, or state ID

✅ Social Security Card – A clear copy is required

📌 If you are unable to upload your documents now, please submit them as soon as possible via:

📧 Email: documents@harborhalo.com

🌐 Upload Link: upload documents here

File uploads (you can upload more than one document here)

Please upload a copy of your ID or Drivers License, Copy of Social Security Card, Proof of income (Example: SSI/SSDI award letter, Pay Stub)

PLEASE NOTE: If you have been referred from an organization or casemanager please click "Member will submit their background check payment separately". If you do not you will be taken to a paywall to make payment for a background check.

Member will submit their background check payment separately.

Member will upload their documents separately.

Signature

Drawing mode selected. Drawing requires a mouse or touchpad. For keyboard accessibility, select Type or Upload.

By signing below, either personally or by proxy, I certify that all information provided in this application is true and accurate.

I authorize Harbor Halo to conduct a background check and verify my information. I acknowledge that the $25 background check fee is non-refundable.

I also confirm that I have read and agree to the Harbor Halo Membership Terms & House Rules. I understand that my membership may be denied or revoked if I fail to follow the policies outlined.

Apply Anchor