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  • Who We Are
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    • Our Impact
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    • Careers
    • Media Center
    • Capital Campaign
  • What We Do
    • Housing
    • Hunger
    • Health
    • Essential Services
    • Thrift Stores
  • Get Involved
    • Events
    • Volunteer
    • Join
    • Connect
  • Ways To Give
    • The Guardian Society
    • The 1903 Society
    • WISH Georgia
    • Sponsorships
    • Matching Gifts
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  • The Guardian Society
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What We Do / Housing / Motel 2 Home Application

Motel 2 Home Application

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Head of Household Information

Each person listed must match birth certificate or driver's license.
Name*
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Have you been approved for housing?*
If you are approved for housing, what is the address of where you are moving to?
Do you have a housing voucher?*
Email*
Date of Birth*
Ethnicity*
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Please enter a number greater than or equal to 0.

Spouse

Name

Children and Other Occupants

Child 1

Name
Date of Birth

Child 2

Name
Date of Birth

Child 3

Name
Date of Birth

Child 4

Name
Date of Birth

Child 5

Name
Date of Birth

Child 6

Name
Date of Birth

Residency History

City, State or County
How long have you stayed in extended stay motels?
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Criminal Background

Other Information

Please enter a number greater than or equal to 0.
Include all income, employment, SSDI, child support, etc. Any cash income should be included.
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Signature

By signing, the applicant represents that all of the above information is true and correct and hereby authorizes verification of the above items including, but not limited to, the obtaining of a credit report or background check. If any information is false, St. Vincent de Paul Georgia is entitled to reject the application.
Clear Signature
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Areas of Interest
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Mission

Providing Help and Hope to Neighbors in Need

Location & Hours
2050-C Chamblee Tucker Road
Atlanta, GA 30341
Monday - Friday:
8:30 AM – 4:00 PM
Contact
Main: (678) 892-6160
Assistance: (678) 892-6163
Pharmacy: (770) 687-2610
info@svdpgeorgia.org
Donations: gifts@svdpgeorgia.org
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