Apply for Housing

Resident Intake Questionnaire

A shared home in South Dallas — furnished, all bills included. This takes about five minutes, there is no fee, and nothing is binding until an agreement is signed.

Agencies, case managers and social workers: you are welcome to complete this on a client's behalf — just add your details in the agency field.

Step 1 of 5 — Personal Information

Personal Information

Full name * Date of birth

Phone * Email *

Current address Emergency contact (name & phone) Agency / case worker Leave blank if you are applying for yourself.

Your Stay

Desired move-in date Room preference

How long do you plan to stay?

Short-term (under 6 months) Long-term (6+ months) Not sure yet

Budget range Kept private — shared only with our team, never published. How did you hear about us?

Living Together

Describe your daily routine or lifestyle What's important to you in a home environment? How do you handle conflict or disagreements in shared spaces? Are you comfortable living peacefully in a shared home?

Yes No

Practical Details

Do you have verifiable monthly income?

Yes No

Employment, benefits, program funding or agency support all count — we ask everyone the same question. What are your goals while living here? Anything that would help us make the home comfortable for you? You are never required to share medical or personal details. This is only so we can accommodate requests you choose to make.

Consent & Acknowledgment

I have read and agree to the statement above, and I agree to be contacted by Eloi Co-Living Solutions about this application.

Signature — type your full name * Typing your name here acts as your signature on this questionnaire. Date

Thank you — your application is in.

We review every application personally and will be in touch within one business day. If it is urgent, call or text us at (972) 885-8906.

Eloi Co-Living Solutions LLC is an equal-opportunity housing provider. We do business in accordance with the Fair Housing Act and review every application under the same criteria. Your information is used only to process this application — see our privacy policy.