Cathedral Square
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Housing
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Featured Community

Town Meadow Senior Housing

Town Meadow Senior Housing Town Meadow Senior Housing is conveniently located by the Essex Shoppes and Cinema, Hannaford, the post office and area restaurants. Built to meet the changing needs of seniors, all of the apartments are fully accessible. 40 apartments have rental assistance. The common space offers a beautiful f... More Information.

Rental Application:

You may apply for housing from this page in one of two ways:

  1. Simply fill out and submit the electronic form below.
  2. Click here to download and print a copy of our rental application

Optional: Click here to download the HUD - 92006, Supplemental and Optional Contact Information for HUD-Assisted Housing Applicants.

If you have any questions about the application process, please contact us via email at info@cathedralsquare.org or by phone at (802) 863-2224.

FAMILY COMPOSITION:

Complete the following information for each person who will live in your apartment:

NameSS NumberBirth DateSex (M/F)Relationship

Current Street Address:
Street Address 2:
City:
State:
Zip:
Mailing Address:
Mailing Address 2:
City:
State:
Zip:
Phone Number:()-
Is this your home phone, message, or cell phone?
Email Address:
How long have you lived at this address?
Do you rent?YesNo
If yes, who is your Landlord?
Landlord's Phone:()-
Landlord's Address:
Do you own your home?YesNo
Market Value:
Do you live with others?YesNo
If yes, please explain your living arrangements:
PREVIOUS HOUSING:

Fill out the information for all places you have lived in the past 5 years, not including your present housing.

Landlord NameLandlord AddressPhone NumberDates you lived there
()- to
()- to
()- to

Have you ever lived in a property managed by Cathedral Square?YesNo
If yes, where?
Do you currently live in affordable housing?YesNo
INCOME:

Please list ALL sources of income for each person who will live in your apartment. Be sure to list gross annual amounts and where the income comes from:

EMPLOYMENT INCOME:

ApplicantsEmployer/AddressGross Weekly Salary

OTHER INCOME:

ApplicantsType of IncomeGross Monthly Amount

ASSETS:

Please list all accounts held by each person who will live in your apartment.

Bank/InstitutionType of Acct.Interest Rate %Current Balance

IRA/Keogh/Annuity/Pension/Stocks

Name of Stock# of SharesShare PriceCash ValueQtrly. Dividend

Bonds/Insurance Policies

Date of PurchaseCurrent Value/Cash Value

Does applicant own real estate other than the home you live in?YesNo
If yes, what is the location?
Market Value:
Does anyone applying own any other asset not already listed?
(DO NOT INCLUDE FURNITURE AND/OR MOTOR VEHICLES USED FOR PERSONAL TRANSPORTATION)		YesNo
If yes, please describe:
Market Value:
Have you or any member of the household disposed of, transferred or otherwise given away any cash property or other assets for less than they are worth in the past 2 years?YesNo
If yes, Description:
Cash Value:
Amount Recieved:
Date Disposed of:
EXPENSES:
Child Care (per month):
Medical Expenses (per month):
Physicians/healthcare Providers:
Medical Premiums:
Hospitals/Other Health Care Facilities:
Prescription/Non-prescription Medicine:                                             
Dental:
Other:
GENERAL INFORMATION:
Are you in need of a wheelchair accessible apartment?YesNo
If offered an apartment and I accept, this apartment will serve as my primary residence?YesNo
Are all members of the household a citizen of the United States or a non-citizen with eligible immigration status?YesNo
Has anyone in your household ever been charged with or convicted of a crime, including but not limited to illegal manufacture or distribution of a controlled substance?YesNo
If yes, please explain:
Do you have any pets? *Note: One pet per household is allowedYesNo
Type:
Number:
How did you hear about Cathedral Square?
FAMILY CONTACT:

Please provide the name of any family or friends you would like involved in this application process. Please also list any family or friends we may contact if we are unable to reach you.

NameAddressPhoneRelationship
()-
()-

HOUSING PREFERENCES:

Please check the size of apartment and the properties that you are interested in:
1 bedroom 2 bedroom Efficiency (Richmond Terrace & Ruggles House only)

Assisted Living 3 Cathedral SquareBurlingtonService-enriched housing with 24-hour personal care assistance, nursing oversight, medication management, meals and housekeeping. Must be 62 or older or disabled. Medicaid accepted.
Cathedral Square Senior LivingBurlingtonMust be 62 or older or disabled. Rent is subsidized.
Heineberg Senior HousingBurlingtonMust be 55 or older.
McAuley Square Senior HousingBurlingtonMust be 55 or older. Application for Project Based subsidized units must be filed with Burlington Housing Authority in addition to the Cathedral Square application.
Monroe PlaceBurlingtonService-enriched housing with preference given to individuals participating in Howard Center programs. Rent is subsidized.
Ruggles HouseBurlingtonService-enriched housing with meals and housekeeping. Application for Project Based subsidized units must be filed with Burlington Housing Authority in addition to the Cathedral Square application. Must be 55 or older.
Holy CrossColchesterMust be 55 or older. Smoke-free housing
Town Meadow Senior HousingEssexMust be 55 or older. Many units are rent subsidized. Smoke-free housing
Whitcomb TerraceEssex Jct.Barrier-free housing for all ages. Application for Project Based subsidized units must be filed with the Vermont State Housing Authority in addition to the Cathedral Square application.
Whitcomb WoodsEssex Jct.Must be 62 or older or disabled. Rent is subsidized.
Jeri-HillJerichoMust be 62 or older or disabled. Rent is subsidized.
Richmond TerraceRichmondMust be 62 or older or disabled. Rent is subsidized. Smoke-free housing
Grand Way CommonsS. BurlingtonMust be 55 or older. Many units are rent subsidized. Smoke-free housing
South Burlington Community HousingS. BurlingtonService-enriched housing with 24 hour personal care assistance through VNA. Must need 4 hours of personal care per day and be under age 62. Rent is subsidized.
FourwindsSt. AlbansMust be 62 or older or disabled. Rent is subsidized.
Heritage LaneSt. AlbansMust be 62 or older or disabled. Rent is subsidized.
Whitney Hill HomesteadWillistonMust be 55 or older. Smoke-free housing

Section 8 vouchers are accepted at all locations that are not already subsidized.

ALL APPLICANTS MUST BE INCOME ELIGIBLE AND MEET ALL ADMISSIONS CRITERIA FOR THEIR PROSPECTIVE APARTMENT

The information regarding race, ethnicity, and sex designation solicited on this application is requested in order to assure the Federal Government, acting through the Rural Housing Service and US Department of Housing and Urban Development that the Federal laws prohibiting discrimination against tenant applications on the basis of race, color, national origin, religion, sex, familial status, age, and disability are complied with. You are not required to furnish this information, but are encouraged to do so. This information will not be used in evaluating your application or to discriminate against you in any way. However, if you choose not to furnish it, the owner is required to note the race, ethnicity and sex of individual applicants on the basis of visual observation or surname:

Ethnicity:Not Hispanic or LatinoHispanic or Latino
Gender:MaleFemale
Race:American Indian/Alaska Native
Asian
White
Black or African American
Native Hawaiin or Other Pacific Island

PLEASE READ THE FOLLOWING STATEMENT CAREFULLY BEFORE SUBMITTING THIS APPLICATION:

I/we certify that the information given on household composition, income, net family assets, allowances and deductions, as well as all other information provided is accurate and complete to the best of my/our knowledge and belief. I/we understand that false statements or information are punishable by federal law with fines up to $10,000 or imprisonment for up to 5 years. I/we understand that false statements or information are grounds for termination of housing assistance, termination of tenancy and/or retroactive rent increases.

Submitting this application constitutes my/our consent to have Cathedral Square Corporation conduct a background check, including verification of the information contained herein. I/we hereby expressly consent to the release of information by prior landlords, employers, credit bureaus/references, criminal information centers, and other individuals or entities with information relevant to the information provided herein to representatives of Cathedral Square Corporation processing this application and performing the background check.

"I have read and understand this statement."