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Rental Pre-Application

Please note each adult member must complete a section of this form listing the places lived in the past seven years and landlord information, in addition to providing name, date of birth, social security number, telephone number, and signature. Please have this information ready when completing this form.

By submitting this Pre-Application, your household will be placed on a waiting list for the development you select below.

The Housing Authority of the City of Bangor (“BHA”) will determine how many bedrooms your household is eligible for in accordance with applicable occupancy standards. When you reach the top of the waiting list, you will be contacted to provide further information to BHA to determine your household’s eligibility for admission. This Pre-Application is not an offer of housing.

If you or anyone in your household is a person with a disability and requires an accommodation in order to fully utilize our programs and services, including completing this Pre-Application, please complete a Reasonable Accommodation Request Form.