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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

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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*

Email*

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

Emergency Contact Name and Phone Number

Do you understand this is a shared living home*

Yes

No

Have you lived in shared housing before?*

Yes

No

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

Yes

No

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?*

Funding Source*

Self-Pay

Social Security Insurance (SSI)

Disability Insurance (SSDI)

Govt or State Assistance

Non-Profit Organization- Rent Assistance

If you are self-paying for housing, please provide your employer’s information for income and stability verification

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

No

If yes, when

Have you ever been convicted of a felony?*

Yes

No

If yes, Please explain

Do you have any outstanding warrants or pending criminal charges?*

Yes

No

If yes, please explain

Do you have an animal that will be living with you?*

Yes

No

How many?

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

No

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

Yes

No

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

No

If yes, Please list them

Please disclose any existing medical conditions or health concerns that we should be aware of.

What side of town are you interested in?*

Clayton County

Fulton County

South Fulton

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

Yes

No

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

Yes

No

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 not referred, please tell us how you heard about us?*

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)

Member will submit their background check payment separately.

Member will upload their documents separately.

Signature*

Sign in the box or use the keyboard to type.

Signature field is empty.

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.

Apply Anchor

Harbor Halo

Located in the heart of Metro Atlanta, Harbor Halo welcomes referrals from all across the United States. We're proud to accept clients from all over the country.

This facility does not discriminate in admission, retention and care of residents, because of race, color, creed, national origin, age, gender, marital status, sexual preference, blindness, sponsor, disability or handicap.

©2025 by Harbor Halo LLC.

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