Providence House 5921 E. Burnside, Portland OR Phone: (503) Fax: (503) TTY Relay: 711

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Providence House 5921 E. Burnside, Portland OR 97215 Phone: (503) 215-2234 Fax: (503) 236-6733 TTY Relay: 711 TENANT SELECTION PLAN Eligibility People applying for residency at Providence House must: Be 62 years of age or older or be a family where the head of household or spouse is 62 years of age or older. Meet HUD s (United States Department of Housing and Urban Development) financial criteria for rental assistance (50% of area median income or less) and be willing to pay rent calculated by HUD s rules (generally 30% of household income); Maintain the apartment as the tenant s only residence; Disclose the Social Security numbers of all household members and provide verification of the numbers reported (Refer to Procedures for Accepting and Verifying Applicants for additional information) All adults must sign an Authorization for Release of Information prior to receiving assistance and annually thereafter Agree to provide verification of all information reported by the household Have a household size appropriate for the available apartments There are no citizenship requirements for eligibility Eligibility of Students If any member of the household is enrolled as a student at an institution of higher education, the student must meet all of the following criteria to be eligible. The student must: Be of legal contract age under state law; Have established a household separate from parents or legal guardians for at least one year prior to application for occupancy, or meet the U.S. Department of Education s definition of an independent student; Not be claimed as a dependent by parents or legal guardians pursuant to IRS regulations; and Obtain a certification of the amount of financial assistance that will be provided by parents, signed by the individual providing the support. This certification is required even if no assistance will be provided. Providence House Tenant Selection Plan Page 1 of 7

Preferences for Admission There are no preferences for admission. Eligible applicants are placed on the wait list by date and time completed applications are received. Procedures for Accepting and Verifying Applicants The application process has two phases: the first phase requires completion of the Application For Housing Wait List and required attachments. The second phase requires completion of the Application for Housing and other required attachments and forms. The second phase is completed when the applicant is nearing the top of the wait list. If the wait list is estimated to be less than 6 months wait, the two phases may be combined. Phase One The Application For Housing Wait List package includes the following forms which must be submitted to the management office to be considered for placement on the wait list. Incomplete, inaccurate or illegible forms will be returned to the applicant and must be resubmitted for consideration. Application For Housing Wait List this must be completed then signed by all adult household members. Race and Ethnicity Data Reporting Form Completion of the race and ethnic data is optional, but each household member must sign their own copy of this form and return it to the office. Optional Contact Information Form Completion of the contact information is optional, but the household must sign and return a copy of the form to the office. Tenant Selection Plan Applicants should review this Tenant Selection Plan and retain it for their records. It does not need to be returned to the office. Applicants indicating on the application form that they require an apartment which is accessible to persons with a mobility, hearing, or visual disability, or requesting any other reasonable accommodation for a disability, will be contacted for additional information and/or clarification, and will be asked to sign verification documents per the Reasonable Accommodation Policy. This information will be put on the wait list in order to offer the applicant an apartment that meets their needs. If the information provided on the Application for Housing Wait List form indicates that the applicant meets the Eligibility Criteria, then the first phase of the application is complete and the applicant will be placed on the wait list in chronological order by when the management office received the completed application materials. Applicants will be notified that they have been added to the wait list. Phase Two When the applicant is nearing the top of the wait list, an Application For Housing, requesting additional information, will be mailed to the applicant and a meeting will be scheduled at which time the applicant will complete remaining application and certification forms. This includes verification forms for all income, assets and medical expenses, reference forms for former landlords, personal or professional references, and release of information forms. Photo ID and a Providence House Tenant Selection Plan Page 2 of 7

verification of a social security number must be provided, and will be used to conduct a background check including criminal, eviction, and credit history. Each member of an applicant s household must disclose their social security number (SSN) before the household may be housed, except for those who do not claim to have eligible immigration status, and persons 62 and older who were already receiving federal housing assistance somewhere else on January 31, 2010. However, they do not need to have or disclose their SSN in order to be placed on the waiting list. Furthermore, they may retain their place on the waiting list if all household members required to disclose a SSN cannot do so at the time an appropriate unit is offered. In this case, they will have 90 days to disclose all SSNs, and they will be offered the next available unit. If all SSNs are not disclosed within 90 days, the application will be cancelled. If a pregnant woman on the wait list is offered a unit and the baby is born prior to leasing, she can move in without the SSN for the baby, but must provide it within 90 days of leasing. The documentation necessary to verify the SSN is a valid SSN card issued by the Social Security Administration, or one of the following documents combined with a personal certification that the document provided is complete and accurate: Driver s license with SSN Identification issued by a federal, State, or local agency, medical insurance provider, employer, or trade union Earnings statement or payroll stubs Bank statement Form 1099 Benefit award letter Retirement benefit letter Life insurance policy Court records Final notice of acceptance or rejection is forwarded to the applicant after review of the complete application including all verification and reference forms. Any applicant determined to be ineligible or whose application is rejected due to information obtained during the screening process may request the opportunity to review the information used in this decision and may provide additional information. This procedure is described under the Grievance Procedure section which is on the last page of this document. Live-In Aides/Attendants Live-In Aides/Attendants must be screened for drug abuse and other criminal activity prior to initial occupancy. Live-In Aides/Attendants must pass all screening criteria except for the criterion regarding the ability to pay rent on time because s/he is not responsible for rental payments. Live-In Aides/Attendants will be required to provide identification and proof of SSN in order to conduct the screening. Tenant Screening Criteria Deficiencies in any of the criteria listed below may result in the rejection of an application. Providence House Tenant Selection Plan Page 3 of 7

Applicants must be at least 62 years of age or be a family where the head of household or spouse is at least 62 years of age. Applicants must disclose the Social Security numbers of all household members and provide verification of the numbers reported. (Refer to Procedures for Accepting and Verifying Applicants) Applicants must have income within stated limits, as determined by HUD. Applicants must have a household of appropriate size. Applicants must provide requested documentation and information, sign designated documents, and update management as to changes in contact information in a timely manner. Applicants must not submit false or incomplete information in the application process. Applicants must demonstrate ability to pay rent on time and to meet the requirements of tenancy. Applicant s landlord references must be clear of any disinclination to rent to applicant again for any reason. Applicants must demonstrate no history of eviction beginning three years prior to date of application. Applicants and all household members must not be currently engaged in illegal drug use or alcohol abuse. Reasonable cause to believe that a household member s pattern of illegal drug use or alcohol abuse would interfere with the household s ability to maintain housing may be cause for rejection of the household s application. Applicants or any household member with a history of patterns of substance abuse that may interfere with the health, safety, or peaceful enjoyment of the premises by other residents, must verify clean and sober status beginning 12 months prior to date of application. Applicants and all household members must have no history of drug-related criminal activity, violent criminal activity, or any activity, criminal or otherwise, that may interfere with the health, safety or the right to peaceful enjoyment of the premises by other residents beginning five years prior to date of application. Applicants or any household member must demonstrate no record of fugitive felon status or unresolved parole or probation violations. Applicants or any household member must not be subject to lifetime registration requirements under any federal or state sex offender registration program. Any household containing a member(s) who was evicted in the last three years from federally assisted housing for drug-related criminal activity. There are two exceptions to this provision. o the evicted household member has successfully completed an approved, supervised drug rehabilitation program, or o the circumstances leading to the eviction no longer exist (e.g. the household member no longer resides with the applicant household). Rejection of Ineligible Applicants Applicants who do not meet the screening criteria will be notified in writing why they will not be accepted as a tenant. They will be given an opportunity to meet with the Housing Director to discuss any questions they may have regarding the screening criteria or to present additional information relevant to the screening process. Providence House Tenant Selection Plan Page 4 of 7

Wait List Order and Maintenance The Wait List is open at all times unless there would be numerous applications that would require, at the discretion of the management, to close the Wait List. Applications will be considered in chronological order based on the date and time the complete initial application is received at the management office. Applicants must notify Management if any of the following changes occur: Address and/or phone number Income Household composition Criminal History Applications will be removed from the wait list if: Applicant no longer meets the eligibility requirements for the property or project Applicant fails to respond to a written notice requesting response in the timeframe indicated in the notice Applicant is offered and rejects two units on the property Mail sent to the address listed on the application is returned undeliverable Changes in household size put the applicant household outside of the minimum or maximum occupancy standards Right of Refusal An applicant may turn down the offer of a unit for which they are eligible one time and retain their position on the waiting list. If an applicant turns down a unit for which they are eligible a second time, the application will be cancelled. The applicant may reapply. Income Limits Income Limits are established each year by HUD (Housing and Urban Development). Eligibility for this program is determined as Very Low 50% of the Area Median Income for Multnomah County. Occupancy Standards Management reserves the right to limit the number of individual family members residing within a single unit. Consideration is given to overcrowding and underutilization factors as well as compliance with federal, state and local laws. Generally, 1 or 2 persons will be the acceptable number in a 1 bedroom unit. Unit Transfers Transfers are facilitated only as a reasonable accommodation based upon the need for the features of the unit. Transfers take priority over new applicants. When there is neither a qualified applicant nor current tenant with disabilities requiring the accessibility features of the unit, the management may offer the unit to another household providing that the household enter into an agreement that the tenant will move to a nonaccessible unit within the same project when one becomes available. Providence House Tenant Selection Plan Page 5 of 7

Reasonable Accommodation Applicants with disabilities retain the right to request reasonable accommodations in rules, policies, practices or services including those pertaining to the application process if such modifications are necessary to afford the applicant equal opportunity. Requests for reasonable accommodation should be made to Management and will receive a written response within fourteen days. Victims of Domestic Violence An applicant s or program participant s status as a victim of domestic violence, dating violence or stalking is not a basis for denial of rental assistance or for denial of admission, if the applicant otherwise qualifies for assistance or admission. Enterprise Income Verification (EIV) System Providence Blanchet House and Providence Rossi House use EIV which is an internet-based data system containing employment and income information on individuals participating in HUD s rental assistance programs. This information comes from the Social Security Administration, the Department of Health and Human Services and the (HSS) National Directory of New Hires (NDNH). This information is used for tenants in order to verify social security numbers and correct reporting of income for all household members. EIV is also used to determine if applicants are currently receiving HUD rental assistance at another property. Applicants (during the verification of information process) and tenants (annually) are required to sign form HUD-9887, Notice and Consent for the Release of Information, and form HUD-9887- A, Applicant s/tenant s Consent to the Release of Information. This gives consent for HUD and Providence House to obtain information, to verify this information, and determine eligibility for HUD rental assistance. Failure to sign the consent forms may result in the denial of assistance or termination of assisted housing benefits. As part of the applicant screening process Management will run an EIV Existing Tenant Search for all Household members. This report checks to see whether any household member is currently living in another Public & Indian Housing or Multifamily site. If that is the case, Management will coordinate Move-Out/Move-In dates with the current property so that HUD will not be paying double subsidy. Marketing Advertising in the form of newspaper ads, Providence website, Housing Connections website are placed annually and as needed for vacancies in accordance with our HUD Fair Housing Marketing Plan and target individuals whose annual income is at the extremely low income level for the area. Management maintains contact with Aging and Disability Services as well as various groups/organizations that work with those who are the least likely to apply. Fair Housing and Equal Opportunity The owners and management of Providence House comply with all federal, state and local housing and civil rights laws. Federal law prohibits discrimination based on race, color, creed, religion, sex, national origin, age or handicap. Administrative procedures further prohibit discrimination based on certain class memberships. Providence House Tenant Selection Plan Page 6 of 7

Management promotes and provides equal housing choice for all prospective and current tenants regardless of race, color, religion, creed, national origin, gender, gender identity, sexual orientation, handicap, familial or marital status, or membership in a class of persons. All of the above requirements apply to (1) the acceptance and processing of applications, (2) the selection of tenants from among eligible applicants on the wait list, (3) assignment of units, and (4) the certification and recertification of eligibility for housing assistance Grievance Procedure for Disability Discrimination According to the Section 504 of the Rehabilitation Act of 1973... no otherwise qualified individual with disabilities in the United States shall, solely by reason of his or her disability, be excluded from the participation in, be denied the benefits of, or be subjected to discrimination under any program or activity receiving Federal financial assistance... If at any point during the application process an applicant feels he/she has experienced discrimination based on disability he/she may file a grievance. The person named below has been designated to coordinate compliance with the nondiscrimination requirements contained in the Department of Housing and Urban Development s regulations implementing Section 504. Please contact her in writing* to file your grievance. She will respond in writing within 10 days from the date of the grievance. Name: Leslie Leber Job Title: Compliance Specialist, Providence Supportive Housing Address: 2001 Lind Ave SW #180, Renton WA 98057 If you would like an additional review of your grievance and the response from the Section 504 Coordinator please contact the Director of Supportive Housing in writing* at Providence Health & Services at the address listed above. At anytime during this process you have the right to file a Fair Housing Complaint with the Fair Housing and Equal Opportunity office of HUD at (880) 877-0246. Grievance Procedure If the applicant wishes to grieve the decision denying tenancy, he/she must contact management within fourteen (14) days from the date of the denial letter to request a meeting to discuss the reasons for the denial and/or to present additional information. The Housing Director will consider all new information and within five (5) business days of this meeting send written notification of his/her decision to retain the denial or approve the application. If the applicant would like an additional review of all file information, he/she should write* to: Providence Health & Services, Director of Supportive Housing 2001 Lind Ave SW #180, Renton, WA 98057 *Persons with a disability may request a reasonable accommodation in order to meet this requirement. Providence House Tenant Selection Plan Page 7 of 7