Southern California Housing Collaborative

"To locate and secure affordable housing opportunities for persons with developmental disabilities"

Please Read Carefully

The following questionnaire is for informational purposes only and is not a guarantee that the Southern California Housing Collaborative will be able to provide you or your family with an affordable housing solution.SCHC will use the information gathered to locate housing opportunities for Regional Center Consumers and/or their families as they present themselves. Please continue searching for your own housing alternatives after completing this assessment.

- If approved for a unit -
  • Total number of people in your household who will be living with you.
  • Legal, Current state or federal government-issued identification for all applicants (Driver's License, State ID, Military ID,Passport, or Visa)
  • Birth Certificates for all minors(no exceptions)
  • Valid Social Security Cards for ALL household members
  • Total income and assets for ALL household members(Employment,Disability,SSI,Child Support,etc.)
  • Three (3) months of conseccutive pay stubs
  • Three (3) years of Landlord / residential verification (address, phone & fax)
  • A non-refundable processing fee of $20-$40 for each adult application
  • Depending on your credit, a security deposit of $300 - $600 will be required


Please be aware that you may not qualify if:
  • You have more than $10,000 in debt and/or own more than two vehicles
  • You have negative landlord recommendations or rental history
  • You have been evicted within the last 5 years
  • You have insufficient or excessive income

Section 2

  • Parents name, if applicable

Section 3

Section 4

  • $