Re-apply for Housing Assistance

NOTE: HOME is currently ALSO accepting applications for emergency relief in grants up to $500 which will be expedited. To access the application, click here.

For HOME Housing Assistance:

Must be at least 55 years old to qualify
Must have minimum of 20 years history as a working musician to qualify
Must reside in Austin or within 70 miles of Austin, Texas
Please read each question carefully and provide all information requested. Missing information may delay your application from being processed in a timely manner. Questions? Email homeformusicians@gmail.com.

First Name

Last Name

Date of Birth

YYYY

Email Address

Phone

(###)

###

####

Emergency Contact Info

Please add the name, phone number and email address for your current emergency contact

FINANCIAL INFORMATION

What is your total annual gross income?

Please use the last 12 months

What is your household's current monthly gross income?

What is your current monthly gross income?

SOURCES OF INCOME

Please put the amount AND if it is monthly/quarterly/yearly/etc. in each applicable box, and 0 if you do not have income in that category.

Live music (gig) shows

0 if none

Recording work

0 if none

Royalties

0 if none

Music lessons

0 if none

Merchandise

0 if none

Instrument repairs or manufacturing

0 if none

Income from non music work (yoga, child care, office work, etc)

0 if none

Social security

0 if none

Veterans benefits

0 if none

Pensions

0 if none

Unemployment

0 if none

Annuities

0 if none

Investments

0 if none

Inheritance

0 if none

Other income or financial assistance (please describe)

Number of Dependents

When is the last year you filed with the IRS?

LIVING SITUATION

What is the current household size and make up of the home you live in? (This is the total number of people living in the household you reside in including yourself.)

What is your current housing situation?

Own your home, rent month to month, etc.

When does your current lease or living arrangement end?

What utilities are you responsible to pay monthly?

If you rent or own, what is your current mortgage or rent payment monthly?

What is the reason/s you have or would move?

Check all that apply

Affordability

Rental property being sold

Roommate

Location

Poor Transportation Options

Do you currently have any chronic illness or physical disability that make it hard for you to play/perform as a musician?

Please explain.

GRANT INFORMATION

Do you have any special circumstances or special needs you can share that would tell us more about you and your situation?

Please explain.

Requested Amount and Utility

What is the amount you are requesting, and how will you use it? Remember that HOME provides housing support and nothing else. This includes rent, deposits, and utilities mainly.

By submitting this form, I certify that all the information provided is true and correct to the best of my knowledge. I authorize HOME to verify independently any of the information provided in order to determine my eligibility. I further agree to allow HOME to make payments to any applicable housing vendors as needed to fulfill a grant award on my behalf and will cooperate fully by providing whatever is needed to accomplish this.

(Optional)

I further agree that should I be selected for a grant, that I will cooperate with any media related activity coordinated by HOME as a means to further raise public awareness of HOME and the needs of elder musicians and their housing needs. This may include but not be limited to: photos, interviews, statements requested or participation in HOME related events.

Date of Application Submission

YYYY