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~Information Sheet~
The Blackland Affordable Housing Program, a project of the Blackland Community
Development Corporation (BCDC), provides affordable housing to low-income families with
children under the age of 18 and up to the age of 21 if attending school. Limited affordable
housing services are available to individual adults with disabilities. Robert Shaw Village
provides affordable housing to senior citizens (62 years old and over with no disability, 60 and
over with a disability).
The following regulations apply to both programs:
Eligibility Requirements
You must pass the following eligibility criteria to be accepted into the program:
Be at or below 60% of the City of Austins Median Family Income (MFI). The MFI is
calculated and updated annually by HUD and is available for review upon request. For
certain homes the maximum income is 50% MFI.
Have a gross monthly household income of at least 2.5 times the monthly rent; 2 times
for Robert Shaw Village
Pass a criminal background check (no assaults or criminal sexual behavior)
Prove one year of verifiable good rental and employment history
Application Process
Please speak with Pam Johnson, Blacklands case manager, to determine your eligibility. If you
qualify, you will be asked to speak with Donna Henderson, Blacklands property manager, to
complete an application and provide the necessary documentation. Applications are processed on
a first-come-first-serve basis.
The following documents must be provided for your application to be complete and in the queue:
Picture I.D. for all household members over the age of 18.
Social Security cards for all household members.
Birth certificates for all household members.
Proof of verifiable income for the past two months
Income tax return for the past year
Applications are good for six months. After that you will be required to re-apply.
APPLYING DOES NOT GUARANTEE YOUR ENTRANCE IN THE PROGRAM, so please
continue to pursue other housing options as well.
Blackland Community Development Corporation provides equal and fair housing opportunities.
BCDC does not discriminate on the basis of race, religion, sex, disability, national origin, marital or
student status, or sexual preference.
Name:
Spouses Name:
(cell):
(work):
Drivers License No.:
2.
3.
4.
5.
6.
RENTAL HISTORY
EMPLOYMENT HISTORY
Present Employer: ______________________________________________
Address: ______________________________________________________
City, State, and Zip Code: _________________________________________
Phone No.: _________________________ Title: ______________________
Length of Employment: __________________ Monthly Income: _________________
Supervisors Name: ______________________ Phone No.: ______________________
VEHICLES
List all vehicles to be parked by you, your spouse, or any other occupants.
Make of vehicle: _____________________ Year: ____________ License No.: __________
Make of vehicle: _____________________ Year: ____________ License No.: __________
Make of vehicle: _____________________ Year: ____________ License No.: __________
Other Assets
Have you owned a home in the last ten years? ___________ If yes list address.
___________________________________________
Do you own other real estate property? ____________ If yes list address
___________________________________________
Are you related to any Blackland Community Development Corporation Board Member?
______________ If yes, which Board Member are you related to and how are you related?
________________________________________________________________.
DEMOGRAPHIC INFORMATION
(Optional)
Ethnicity of Head of Household:
Hispanic or Latino
White
Asian
Native Hawaiian/Other Pacific Islander
Asian & White
American Indian/Alaskan Native &
Black/African American
Black/African American
American Indian/Alaskan Native
American Indian/Alaskan Native & White
Black/African American & White
Other Multi-Racial
Other
Vacant
Disability (Head of Household)
Female (Head of Household)
Single, Non-Elderly
Elderly, 62 years +
Related/Single Parents
Related/Two Parents
EMERGENCY INFORMATION
Please list the name, address and phone no. of a relative or friend to contact in case of emergency:
Name: _______________________________________________________________
Address: _____________________________________________________________
Phone No.: ____________________________ Relationship: __________________
EMPLOYMENT VERFICATION
Date
Permission by Applicant
I have given my permission to Blackland Community Development Corporation to verify my employment
history.
Signature of Applicant:
Date