Attention: Burbank Housing is hiring! To see the list of current job opportunities, please visit our careers page.

Residents
Applicants

About Us
News
Partner
Find a Home
Residents
Contact Us
Search

Online Pre-Application Form

Online Rental Pre-Application Form

"*" indicates required fields

Step 1 of 4

25%

This field is hidden when viewing the form

Property Name

Current Open Listed Properties*

I am a former resident of the Journey's End Mobile Home Park displaced by the 2017 Tubbs Fire

Yes

Laurel at Perennial Park is a 62+ Affordable Community. Are you 62 or older?

Yes

Applicant Name*

First Name Last Name

Head of Household*

First Last

Address*

Street Address City State Zip Code

Best Phone Number*

Email Address*

Email is a great way to communicate with me! Please send me future notification of future vacancies and projects.

Opt in to receive text messages of future vacancies and projects

How many members in your household?*

Please enter a number from 1 to 20.

Start with the Head of Household and then list all members of the household. Amount of members must equal the number listed above.*

Name

Relationship to HOH

DOB (mm/dd/yyyy)

Gender (M/F/Others)

Monthly Gross income

Click on the + sign in the circle to the left of Monthly Gross Income box to add more household member.

Total Monthly Household Income*

Does anyone in your household fall under this catergory?

Hold a section 8 voucher

Employed as an agricultural worker/farm laborer

Veteran

Does a member of your household qualify for an ADA compliant unit?

Yes

Name of Qualifying Household Member

First Last

Does the member require a downstairs unit?

YES

Please read below.*

I agree to the privacy policy.

Certification: I declare under penalty of perjury under the laws of the State of California that the information contained in this Preliminary. Application is given voluntarily and is true and correct. I understand that the answers are subject to verification.

Date*

YYYY

Affirmative Fair Housing

To help us assess affirmative fair housing effectiveness, please check the category that best describe your race/ethnicity. This information is strictly voluntary on your part.

Race Categories (Single Race)

American Indian or Alaskan Native

Asian

Black or African American

Native Hawaiian or Other Pac islander

White

Decline to state

Two or More Races

American Indian or Alaskan Native

Asian

Black or African American

Native Hawaiian or Other Pac islander

White

Decline to state

Ethnicity Category (Hispanic or Latino)

Mexican/Chicano

Puerto Rican

Cuban

Other Hispanic/Latino

Decline to state

This field is hidden when viewing the form

Contact Email

Comments

This field is for validation purposes and should be left unchanged.

Stay Informed

Stay up to date with the latest Burbank Housing News and Upcoming Events.

First Name

Last Name

Community Supporters

Burbank Housing Residents

Email Burbank Housing Burbank Housing on X Burbank Housing on Facebook Burbank Housing on LinkedIn

Burbank Housing Development Corporation, Licensed by the California DRE #01154604, NMLS #367236
Burbank Housing Management Corporation, Licensed by the California DRE #01197401

For general information regarding our housing, please contact info@burbankhousing.org or call (707) 526-9782. Burbank Housing Development Corporation and Burbank Housing Management Corporation do not discriminate in admission or access to, or treatment during access in, housing or employment opportunities towards any person because of that person’s race, color, religious creed, sex (gender), sexual orientation, marital status, nationality origin, ancestry, familial status, source of income, disability status, medical condition, or age.

Burbank Housing has designated a person to coordinate compliance with its nondiscrimination requirements who can be contacted as follows: Mail: Burbank Housing Main Office, addressed to Burbank Housing, Attn: 504 Coordinator Telephone: (707) 681-0628 or TTY (877) 735-2929 Email: 504coordinator@burbankhousing.org