Apply Now | Blu Manor — Second Chance Transitional Housing

Personal Info

Supervision & Employment

Housing Details

Acknowledgments

Personal Information

Please provide your basic contact and personal details.

Full Name *

Please enter your full name.

Date of Birth *

Please enter your date of birth.

Phone Number *

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Email Address

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Current Address *

Please enter your current address.

Supervision & Employment

Tell us about your supervision status and current employment.

Supervision Status *

Probation

Parole

Pretrial

None

Please select at least one option.

Referring Agency / Officer

Officer Phone / Email

Employer Name *

Please enter employer name or indicate seeking employment.

Position / Title

Monthly Income *

Please enter your monthly income.

Work Schedule

Housing Details

Provide your expected move-in date and emergency contact information.

Expected Move-In Date *

Please select an expected move-in date.

How did you hear about us?

Emergency Contact

Contact Name *

Please enter emergency contact name.

Contact Phone *

Please enter emergency contact phone.

Relationship *

Please enter the relationship.

Acknowledgments & Signature

Please review and acknowledge the following before submitting your application.

House Rules Acknowledgment

I acknowledge that I have read and understand the house rules of Blu Manor — Second Chance Transitional Housing. I agree to abide by all rules and guidelines, including maintaining employment, following curfew, respecting shared spaces, and abstaining from illegal activity and prohibited substances.

I acknowledge and agree to the House Rules *

Background Screening Disclosure

I acknowledge that my criminal history has been disclosed and that providing false information may result in denial of admission or termination from the housing program. I understand that a background review may be conducted.

I acknowledge the Background Screening Disclosure *

Resident Handbook Acknowledgment

I confirm that I have received (or will receive upon move-in) and understand the Resident Handbook. I agree to comply with all policies outlined therein.

I acknowledge receipt and agree to the Resident Handbook *

Digital Signature

Type Your Full Legal Name *

Please type your full name as your signature.

Date

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Application Submitted!

Thank you for applying to Blu Manor. We'll review your application and contact you within 48 hours.

Need immediate assistance? Call us at 727-563-6540

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Apply for Housing

Personal Information

Supervision & Employment

Housing Details

Emergency Contact

Acknowledgments & Signature

House Rules Acknowledgment

Background Screening Disclosure

Resident Handbook Acknowledgment

Digital Signature

Application Submitted!

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