100 Homes Online Application

Applications will be accepted on a rolling basis

PROJECT PRIORITY: People facing displacement

New priority and non-priority applicants may apply at any time and be added to the priority or non-priority wait list in chronological order based on the date application is received. When units become available, applicants will be offered unit that fit their housing size requirements in the order that they are positioned on the wait list.

Applicants that are offered unit and are interested in moving in will work with management to complete a more comprehensive application and collect further priority and income verification documentation. Applicants meeting the following criteria will receive priority status:

Persons with a rent subsidy voucher that will expire within 2 months if not placed, such as Section 8 or MRVP. This application must be accompanied by a letter from the Housing Authority.

Persons at imminent risk of displacement, documented by a no-fault notice to quit, a no-fault notice of lease non-renewal, or a current summary process action pending for no-fault or for non-payment of rent where rent plus utilities exceeds 50% of gross income or where judgment has entered against the tenant whether or not execution has been stayed.

Call 617-410-9910 for more information about the application process, language assistance, application translations, or reasonable accommodations for persons with disabilities. Tdd/tty: (800) 439-2370.

REAL ESTATE DEVELOPMENT

100 Homes Program Application
Our Properties
Real Estate Development Advisory Committee
100 Homes Online Application

1. Head of Household
Please provide all the following contact information for the Head of Household.
Applicant’s Name
First Last
Current Address*
Street Address City Current State ZIP Code
Mailing Address*
Same as previous

Street Address City Mailing State ZIP Code
Email
Enter Email Confirm Email
Primary Phone*
Alternate Phone
Ethnicity*
* We are required to ask this as an organization that receives federal funding. Hispanic: A person of Cuban, Mexican, Puerto Rican, South or Central American, or other Latino culture or origin, regardless of race.
- Hispanic
- Not Hispanic
Race*
- American Indian/Alaskan Native
- Asian
- Black or African American
- Native Hawaiian or Other Pacific Islander
- White
- More than One Race
- Prefer not to respond
2. Household Information
Household size*
How many people are in your household including yourself and all other adults and children who will be living with you?
Household Information*
Complete the following information for each household member that will occupy the unit at time of move-in.
Name (Last, First, MI) Relationship to the Head of Household Gender Birth Date (mm/dd/yyyy)
Housing Assistance*
Does your household have any housing assistance such as a Section 8 voucher, MRVP, Permanent Supportive Housing voucher, or other assistance to be used to help pay for housing costs?
- Yes
- No
Please write the type and source of housing assistance:*
3. Bedroom Size
What bedroom size(s) are you requesting?*
(Make 1-2 selections below)
- 1 Bedroom
- 2 Bedroom
- 3 Bedroom
- 4 Bedroom
- 5 Bedroom
4. PRIORITY STATUS
New priority and non-priority applicants may apply at any time and be added to the priority or non-priority wait list in chronological order based on the date application is received. When units become available, applicants will be offered unit that fit their housing size requirements in the order that they are positioned on the wait list.

Applicants that are offered unit and are interested in moving in will work with management to complete a more comprehensive application and collect further priority and income verification documentation.
Persons with a rent subsidy voucher that will expire within 2 months if not placed, such as Section 8 or MRVP. This application must be accompanied by a letter from the Housing Authority.

Persons at imminent risk of displacement, documented by a no-fault notice to quit, a no-fault notice of lease non-renewal, or a current summary process action pending for no-fault or for non-payment of rent where rent plus utilities exceeds 50% of gross income or where judgment has entered against the tenant whether or not execution has been stayed.
Are you applying for Priority status?*
In order to claim priority status, applicants must supply verification listed above.
- Priority and Upload Documentation
- Priority and No Documentation
- Non-Priority
Acknowledgement*
I acknowledge that verification documentation is required for me to qualify for this priority, and I will submit required verification documents later
Attach Verification*
Accepted file types: jpg, pdf, doc, docx, Max. file size: 512 MB.
Upload your verification file in .pdf, .doc or .docx format
5. Income Information
Income Information*
Household Member’s Full Name Source of Income Monthly Gross Amount (before taxes)

List all income such as Wages, Salaries , Tips, Self-Employment income, Welfare, Social Security, TANF, SSI, Pensions, Disability Compensation, Unemployment Compensation, Alimony, Child Support, Military Pay, etc.
6. Asset information
Asset Information*
Household Member's Full Name Asset Type Asset Value or Current Balance Name of Financial Institution

List below the assets of everyone to live in the unit. Include all bank accounts, stocks and bonds, trusts, real estate, etc. DO NOT include clothing, furniture or cars.
Do you own any Real Estate?*
- Yes
- No
Please provide address:*
Street Address City State ZIP Code
Have you sold, transferred or given away any real property or assets in the last three (3) years?*
- Yes
- No
Please provide amount and date of sale/transfer:*
SCC will not discriminate against applicants on the basis of race, creed, color, religion, national or ethnic origin, citizenship, ancestry, class, race, marital status, disability, presence of children, source of income, age, sexual preference, gender identity, genetic information, or any other basis prohibited by law.
Signature clause
Signature Clause*
I agree
I understand that the owner is relying on this information to prove my household’s eligibility for housing. I certify that all information and answers to the questions are true and complete to the best of my knowledge. I consent to release the necessary information to determine my eligibility. I understand that providing false information or making false statements may be grounds for denial of my application. I also understand that such action may result in criminal penalties. I consent to have management verify the information contained in this application for purposes of proving my eligibility for occupancy, including doing a CORI check. I will provide all necessary information and expedite this process in any way possible. I understand that my occupancy is contingent on meeting the Owner’s resident selection criteria.

I hereby grant this property owner the right to process this application for the purpose of obtaining a Rental/Lease Agreement with this property. Additionally, I authorize all corporations, companies, law enforcement agencies, academic institutions, and current and former employers to release information they may have about me and release them from any liability and responsibility from doing so. A photographic or faxed copy of this authorization shall be as valid as the original.
Household Member 1 Full Name*
All household members 18 and over must sign below:
First Middle Last
Signature 1*
Date*
Month
Day
Year
Add another household member?*
- Yes
- No
Household Member 2 Full Name*
First Middle Last
Date*
MM slash DD slash YYYY
Signature 2*
Add another household member?*
- Yes
- No
Household Member 3 Full Name*
First Middle Last
Date*
MM slash DD slash YYYY
Signature 3*

Save and Continue Later

Learn the story of SCC - watch the mini documentary:

Members of the community in Somerville, MA come together for an illuminated walk to bring attention to gentrification and housing affordability in East Somerville. Produced in collaboration with the Somerville Community Corporation and Mister Francis. Written, directed, and edited by Andrew Eldridge. Produced by Elizabeth Eldridge, Andrew Eldridge.

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About What We Do Services First Source Jobs Program First-Time Homebuyer Program Financial Literacy Classes Digital Literacy Classes Resources Get Involved Contact Us Support Our work

For tenants of the 100 Homes program, if you are in need of an urgent repair please call 1-617-410-9915. For life-threatening or other emergencies please call 911.

Somerville sits on the original homelands of the Massachusett, Wampanoag, Naumkeag, and Nipmuc tribal nations. We acknowledge the painful history of genocide and forced removal from this territory, and we honor and respect the many diverse Indigenous peoples still connected to this land on which we live and work.

SOMERVILLE COMMUNITY CORPORATION

337 Somerville Avenue, Second Floor
Somerville, MA 02143
(617) 410-9905
info@somervillecdc.org

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Name (Last, First, MI)	Relationship to the Head of Household	Gender	Birth Date (mm/dd/yyyy)

Household Member’s Full Name	Source of Income	Monthly Gross Amount (before taxes)

Household Member's Full Name	Asset Type	Asset Value or Current Balance	Name of Financial Institution

PROJECT PRIORITY: People facing displacement

1. Head of Household

2. Household Information

3. Bedroom Size

4. PRIORITY STATUS

5. Income Information

6. Asset information

Signature clause