Application Form

When you meet our program manager you will need to bring:

  • Proof of COVID-19 vaccinations (Policy under FAQ segment)
  • Application Form PDF printable or you can scroll down to fill out the online form below
  • Background Check (to be completed at a later date)
  • Financial Information Form
  • Verification of income, pay stub
  • Bank statement
  • NH DHHS Eligibility of Benefits Letter (if you have one)
Phone or email is required