Apply today to be added to our waitlist Email *Full Name *Date of Birth *Rent must be sent through an agency or a representative payee service. Which agency or service will submit your monthly rent to Kornerstone Entities of Ga LLC's House? Referring Agent / Agency. Please provide contact information. Desired Move-in DatePhone NumberIncome Information - Amount & Date Paid (ex. SSI/SSDI/VA Benefits/Other) Do you Have or Have You Had a Felony or Misdemeanor? Please Explain Details Below:Do you Smoke?YesNoDo you Have Transportation?YesNoPlease Let Us Know How Long You Would Like To Be a Resident?Emergency Contact Name & NumberDo You Have Any Pets? If yes, what kind?Anything Else We Need to Know?NameSUBMIT
