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Para ver la versión en español de esta aplicación, presione el botón en la parte superior de su pantalla que dice “Select Language” y seleccione “Spanish”

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Registration
Required fields are marked with an *.
Primary Registrant Name and Current Contact Information

Name
PrefixFirstMiddleLastSuffix
**
 To enter a P.O. Box as an address, type "PO BOX" for the Address # and the number for the Street Name.

Address
Address #DirectionStreet NameUnit/Apt. #
**
City*State*Zipcode*
County*
Please note: Only those who lived in Dutchess, Nassau, Orange, Rockland, Suffolk, or Westchester Counties in September 2021 are eligible for this program.
Primary Phone*
Alternate Phone 1
Alternate Phone 2

Login Information
Email*
Username and password cannot be the same.
Username must consist of all letters and numbers and must be between 6 to 10 characters long.
Password must contain at least 8 characters, include upper case and lowercase letters, numbers, and at least one of these symbols ! @ # $ ^ & * ( )
Username*
Password*Confirm Password*
Challenge Question #1*
Answer*
Challenge Question #2*
Answer*
Last 4 digits of primary applicant's SSN
(used for forgotten password verification only)		*
By checking this box I am certifying that, to the best of my knowledge and belief, all information submitted in connection with this application shall be accurate and complete. I understand that the submission of inaccurate or fraudulent information may be grounds for denial or recapture of a grant and/or loan, and may be punishable by criminal, civil or administrative penalties. I understand that any information I give may be investigated and verified.
Once you press Register below, you will be returned to the application navigation page. Select the Applicant Information Page and begin inputting required fields.

For questions, assistance, or translation needs please contact Community Housing Innovations: intake@communityhousing.org (914) 595-0986


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