Acknowledgement - Fort Wayne Housing Authority

Acknowledgement

FWHA Acknowledgement Form

Acknowledgement

By checking this box and submitting this form, you hereby acknowledge that you watched your assigned video, in its entirety and that you understand all of the information provided to you within that video. You understand that you must submit all required documentation and follow the steps provided in said video. You also understand that at any point, you may contact the Housing Authority with questions.

Type Full Name

First, Middle, Last

Which video did you watch? *

If applying for the Public Housing Program, please provide your bedroom size

If you are human, leave this field blank.