Housing Application

P 843.248.7327
F 843.248.6234

Office Hours:
Mon-Wed: 7:00 am - 5:00 pm, Thurs: 7:00 am - 4:00 pm
Closed: 12:00 - 1:00 pm for Lunch
Closed Friday

2303 Leonard Avenue Conway, SC 29527

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Fields marked with * must be filled out or form will not submit.

[{"type":"header","subtype":"h4","label":"What You Need to Apply for Housing Assistance","className":"d-block"},{"type":"checkbox-group","required":true,"label":"In order for your application to be processed, you must submit the following to HAC: No Exceptions! All documents must be attached to this application. Be sure you answer all questions completely and honestly. ","inline":true,"name":"In-order-for-your-application-to-be-processed-you-must-submit-the-following-to-HAC-No-Exceptions-All-documents-must-be-attached-to-this-application","className":"d-block","values":[{"label":"I understand.","value":"I understand."}]},{"type":"paragraph","subtype":"p","label":"Please select one or more files for upload. You may upload up to 20 files (35 Mb max). Files can be PDF, JPG, JPEG format. To upload multiple files, please hold control while clicking on multiple files before clicking \"Open\".","className":"d-block"},{"type":"file","required":true,"label":"Birth Certificates for each person on the application.","name":"Birth-Certificates-for-each-person-on-the-application","subtype":"file","multiple":true,"className":"d-block"},{"type":"file","required":true,"label":"Social Security Cards for each person on the application.","name":"Social-Security-Cards-for-each-person-on-the-application","subtype":"file","multiple":true,"className":"d-block"},{"type":"file","required":true,"label":"Picture ID for each person who is 18 years of age or older on the application.","name":"Picture-ID-for-each-person-who-is-18-years-of-age-or-older-on-the-application","subtype":"file","multiple":true,"className":"d-block"},{"type":"file","required":true,"label":"Verification of Income - used to determine preference status.<br>Upload last 2 Pay Stubs here.","name":"Verification-of-Income---used-to-determine-preference-status-Upload-last-2-Pay-Stubs-here","subtype":"file","multiple":true,"className":"d-block"},{"type":"checkbox-group","required":true,"label":"Your application is not complete and will not be accepted without the required documents attached.","name":"Your-application-is-not-complete-and-will-not-be-accepted-without-the-required-documents-attached","className":"d-block","values":[{"label":"I acknowledge this statement.","value":"I acknowledge this statement."}]},{"type":"checkbox-group","required":true,"label":"If you or anyone in your household is a person with disabilities, and you require a specific accommodation in order to fully utilize our programs and services, please contact the Housing Authority of Conway for further information. ","name":"If-you-or-anyone-in-your-household-is-a-person-with-disabilities-and-you-require-a-specific-accommodation-in-order-to-fully-utilize-our-programs-and-services-please-contact-the-Housing-Authority-of-Conway-for-further-information-","className":"d-block","values":[{"label":"I acknowledge this statement.","value":"I acknowledge this statement."}]},{"type":"paragraph","subtype":"p","label":"<hr>","className":"d-block"},{"type":"header","subtype":"h4","label":"Preliminary Application for Housing Assistance","className":"d-block"},{"type":"checkbox-group","required":true,"label":"This preliminary application is being used to gather basic information and establish any preferences to which you may be entitled. This packet must be filled out in its entirety and failure to do so may result in your name not being placed on the waiting list. No interview is required for a preliminary application. This Public Housing Authority (PHA) will send written notice of the preliminary eligibility determination within ten (10) business days of receiving an application.","name":"This-preliminary-application-is-being-used-to-gather-basic-information-and-establish-any-preferences-to-which-you-may-be-entitled-This-packet-must-be-filled-out-in-its-entirety-and-failure-to-do-so-may-result-in-your-name-not-being-placed-on-the-waiting-list-No-interview-is-required-for-a-preliminary-application-This-Public-Housing-Authority-PHA-will-send-written-notice-of-the-preliminary-eligibility-determination-within-ten-10-business-days-of-receiving-an-application","className":"d-block","values":[{"label":"I acknowledge this statement.","value":"I acknowledge this statement."}]},{"type":"checkbox-group","required":true,"label":"Applicants are placed on the waiting list according to PHA preferences and the date and time the preliminary application is received by the PHA. Placement on the waiting list does not indicate that the family is eligible for admission.<br>","name":"Applicants-are-placed-on-the-waiting-list-according-to-PHA-preferences-and-the-date-and-time-the-preliminary-application-is-received-by-the-PHA-Placement-on-the-waiting-list-does-not-indicate-that-the-family-is-eligible-for-admission","className":"d-block","values":[{"label":"I acknowledge this statement.","value":"I acknowledge this statement."}]},{"type":"checkbox-group","required":true,"label":"<div>PHA Preferences are as follows:<br>Displaced - Individuals or families displaced by national government action or a federally declared disaster. </div><div>Working - Head of Household is working or has been hired to work at least 25 hours per week in Horry County. </div><div>Disabled - Single applicant that is disabled or a family with a disabled household member (must be receiving benefits or have proof of having applied for benefits). </div><div>Elderly - Single applicant that is elderly (62 years or older).</div>","name":"PHA-Preferences-are-as-follows-Displaced---Individuals-or-families-displaced-by-national-government-action-or-a-federally-declared-disaster--Working---Head-of-Household-is-working-or-has-been-hired-to-work-at-least-25-hours-per-week-in-Horry-County--Disabled---Single-applicant-that-is-disabled-or-a-family-with-a-disabled-household-member-must-be-receiving-benefits-or-have-proof-of-having-applied-for-benefits--Elderly---Single-applicant-that-is-elderly-62-years-or-older","className":"d-block","values":[{"label":"I acknowledge this statement.","value":"I acknowledge this statement."}]},{"type":"checkbox-group","required":true,"label":"Once your name appears to be nearing the top of the waiting list, you will be notified by mail at the address you have provided with a scheduled appointment to attend an interview to begin the verification process. This PHA will only contact you by mail. It is your responsibility to make sure we always have a current address. Failure to respond to any correspondence from this PHA due to failure to update your address will result in the removal of your name from the waiting list. You are also responsible for reporting any changes in family composition, income, or preference.<br>","name":"Once-your-name-appears-to-be-nearing-the-top-of-the-waiting-list-you-will-be-notified-by-mail-at-the-address-you-have-provided-with-a-scheduled-appointment-to-attend-an-interview-to-begin-the-verification-process-This-PHA-will-only-contact-you-by-mail-It-is-your-responsibility-to-make-sure-we-always-have-a-current-address-Failure-to-respond-to-any-correspondence-from-this-PHA-due-to-failure-to-update-your-address-will-result-in-the-removal-of-your-name-from-the-waiting-list-You-are-also-responsible-for-reporting-any-changes-in-family-composition-income-or-preference","className":"d-block","values":[{"label":"I acknowledge this statement.","value":"I acknowledge this statement."}]},{"type":"paragraph","subtype":"p","label":"<div><span style=\"font-family: var(--bs-body-font-family); text-align: var(--bs-body-text-align);\">Valuable information you need to know:</span><br></div>","className":"d-block"},{"type":"checkbox-group","required":true,"label":"Public Housing consists of the following developments located in Conway, SC:<br>Huckabee Heights 1, 2, 3, 4, & 5 bedroom units, <br>Darden Terrace 1, 2, 3, 4, & 5 bedroom units, <br>Holt Gardens 1, 2, 3 & 4 bedroom units, <br>Scattered Sites 3 & 4 bedroom units.<br>","name":"Public-Housing-consists-of-the-following-developments-located-in-Conway-SC-Huckabee-Heights-1-2-3-4--5-bedroom-units-Darden-Terrace-1-2-3-4--5-bedroom-units-Holt-Gardens-1-2-3--4-bedroom-units-Scattered-Sites-3--4-bedroom-units","className":"d-block","values":[{"label":"I acknowledge this statement.","value":"I acknowledge this statement."}]},{"type":"checkbox-group","required":true,"label":"Section 8 NC consists of the following developments located in Conway, SC: <br>Lee Haven 1 bedroom units, <br>Sanders Village 2 & 3 bedroom units.<br>","name":"Section-8-NC-consists-of-the-following-developments-located-in-Conway-SC-Lee-Haven--1-bedroom-units-Sanders-Village-2--3-bedroom-units","className":"d-block","values":[{"label":"I acknowledge this statement.","value":"I acknowledge this statement."}]},{"type":"checkbox-group","required":true,"label":"Housing Choice Voucher (HCV) consists of rental assistance.<br>","name":"Housing-Choice-Voucher-HCV-consists-of-rental-assistance","className":"d-block","values":[{"label":"I acknowledge this statement.","value":"I acknowledge this statement."}]},{"type":"checkbox-group","required":true,"label":"If you or anyone in your household is a person with disabilities, and you require a specific accommodation in order to fully utilize our programs and services, please contact the Housing Authority of Conway for further information.<br>","name":"If-you-or-anyone-in-your-household-is-a-person-with-disabilities-and-you-require-a-specific-accommodation-in-order-to-fully-utilize-our-programs-and-services-please-contact-the-Housing-Authority-of-Conway-for-further-information","className":"d-block","values":[{"label":"I acknowledge this statement.","value":"I acknowledge this statement."}]},{"type":"paragraph","subtype":"p","label":"<hr>","className":"d-block"},{"type":"header","subtype":"h4","label":"Housing Authority of Conway - Preliminary Application for Housing Assistance","className":"d-block"},{"type":"checkbox-group","required":true,"label":"<div>This form must be filled out in ENGLISH. All fields are required. We are not responsible for the material that <span style=\"text-align: var(--bs-body-text-align);\">is illegible or missing as a result of transmitting by fax or email or lost/delayed through the mail. You are responsible for updating any changes.</span></div>","name":"This-form-must-be-filled-out-in-ENGLISH-All-fields-are-required-We-are-not-responsible-for-the-material-that-is-illegible-or-missing-as-a-result-of-transmitting-by-fax-or-email-or-lostdelayed-through-the-mail-You-are-responsible-for-updating-any-changes","className":"d-block","values":[{"label":"I acknowledge this statement.","value":"I acknowledge this statement."}]},{"type":"checkbox-group","required":true,"label":"***Fraud Warning: Title 18, Section 1001 of the United States code, states that a person who knowingly and willingly makes false statements to any department or agency of the United States is guilty of a felony.","name":"Fraud-Warning-Title-18-Section-1001-of-the-united-states-code-states-that-a-person-who-knowingly-and-willingly-makes-false-statements-to-any-department-or-agency-of-the-United-States-is-guilty-of-a-felony","className":"d-block","values":[{"label":"I acknowledge this statement.","value":"I acknowledge this statement."}]},{"type":"radio-group","required":true,"label":"Which HA program are you applying for?","inline":true,"name":"Which-HA-program-are-you-applying-for","className":"d-block","values":[{"label":"Public Housing","value":"Public Housing"},{"label":"Section 8 New Construction","value":"Section 8 New Construction"}]},{"type":"text","required":true,"label":"Head of Household Last Name","name":"Head-of-Household-Last-Name","className":"col-lg-4","subtype":"text"},{"type":"text","required":true,"label":"Head of Household Middle Initial","name":"Head-of-Household-Middle-Initial","className":"col-lg-4","subtype":"text"},{"type":"text","required":true,"label":"Head of Household First Name","name":"Head-of-Household-First-Name","className":"col-lg-4","subtype":"text"},{"type":"paragraph","subtype":"p","label":"      ","className":"d-block"},{"type":"text","required":true,"label":"Head of Household: PO Box or Street Address","name":"Head-of-Household-PO-Box-or-Street-Address","className":"d-block","subtype":"text"},{"type":"text","required":true,"label":"Head of Household: City","name":"Head-of-Household-City","className":"col-lg-4","subtype":"text"},{"type":"select","required":true,"label":"Head of Household: State","name":"Head-of-Household-State","className":"col-lg-4","values":[{"label":"Alabama","value":"AL"},{"label":"Alaska","value":"AK"},{"label":"Arizona","value":"AZ"},{"label":"Arkansas","value":"AR"},{"label":"California","value":"CA"},{"label":"Colorado","value":"CO"},{"label":"Connecticut","value":"CT"},{"label":"Delaware","value":"DE"},{"label":"District of 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Dakota","value":"ND"},{"label":"Ohio","value":"OH"},{"label":"Oklahoma","value":"OK"},{"label":"Oregon","value":"OR"},{"label":"Pennsylvania","value":"PA"},{"label":"Rhode Island","value":"RI"},{"label":"South Carolina","value":"SC","selected":true},{"label":"South Dakota","value":"SD"},{"label":"Tennessee","value":"TN"},{"label":"Texas","value":"TX"},{"label":"Utah","value":"UT"},{"label":"Vermont","value":"VT"},{"label":"Virginia","value":"VA"},{"label":"Washington","value":"WA"},{"label":"West Virginia","value":"WV"},{"label":"Wisconsin","value":"WI"},{"label":"Wyoming","value":"WY"}]},{"type":"text","required":true,"label":"Head of Household: Zip Code","name":"Head-of-Household-Zip-Code","className":"col-lg-4","subtype":"text"},{"type":"paragraph","subtype":"p","label":"      ","className":"d-block"},{"type":"text","subtype":"email","label":"Email Address","name":"Email-Address","className":"col-md-6"},{"type":"text","subtype":"email","label":"Email Address Confirmation","name":"email-confirmed","className":"col-md-6"},{"type":"text","subtype":"tel","required":true,"label":"Telephone Number","name":"Telephone-Number","className":"col-lg-4"},{"type":"text","label":"Emergency Contact Name","name":"Emergency-Contact-Name","className":"col-lg-4","subtype":"text"},{"type":"text","subtype":"tel","label":"Emergency Contact Phone Number","name":"Emergency-Contact-Phone-Number","className":"col-lg-4"},{"type":"paragraph","subtype":"p","label":"<hr>","className":"d-block"},{"type":"checkbox-group","required":true,"label":"List all persons who will be living in your household, please list head of house hold first:","name":"List-all-persons-who-will-be-living-in-your-household-please-list-head-of-house-hold-first","className":"d-block","values":[{"label":"I acknowledge this statement.","value":"I acknowledge this statement."}]},{"type":"paragraph","subtype":"p","label":"      <div class=\"clear\"></div>","className":"d-block"},{"type":"header","subtype":"h4","label":"Head of Household","className":"d-block"},{"type":"text","required":true,"label":"Member 1 - First Name","name":"Member-1---First-Name","className":"col-lg-4","subtype":"text"},{"type":"text","required":true,"label":"Member 1 - Last Name","name":"Member-1---Last-Name","className":"col-lg-4","subtype":"text"},{"type":"text","required":true,"label":"Member 1 - Social Security Number","name":"Member-1---Social-Security-Number","className":"col-lg-4","subtype":"text"},{"type":"radio-group","required":true,"label":"Member 1 - Full-Time Student?","inline":true,"name":"Member-1---Full-Time-Student","className":"col-lg-4","values":[{"label":"Yes","value":"Yes"},{"label":"No","value":"No"}]},{"type":"text","required":true,"label":"Member 1 - Relationship to Head","name":"Member-1---Relationship-to-Head","value":"Head of Household","className":"col-lg-4","subtype":"text"},{"type":"date","required":true,"label":"Member 1 - Date of Birth","name":"Member-1---Date-of-Birth","className":"col-lg-4"},{"type":"text","required":true,"label":"Member 1 - Birth City","name":"Member-1---Birth-City","className":"col-md-6","subtype":"text"},{"type":"select","required":true,"label":"Member 1 - Birth State","name":"Member-1---Birth-State","className":"col-md-6","values":[{"label":"Alabama","value":"AL"},{"label":"Alaska","value":"AK"},{"label":"Arizona","value":"AZ"},{"label":"Arkansas","value":"AR"},{"label":"California","value":"CA"},{"label":"Colorado","value":"CO"},{"label":"Connecticut","value":"CT"},{"label":"Delaware","value":"DE"},{"label":"District of Columbia","value":"DC"},{"label":"Florida","value":"FL"},{"label":"Georgia","value":"GA"},{"label":"Hawaii","value":"HI"},{"label":"Idaho","value":"ID"},{"label":"Illinois","value":"IL"},{"label":"Indiana","value":"IN"},{"label":"Iowa","value":"IA"},{"label":"Kansas","value":"KS"},{"label":"Kentucky","value":"KY"},{"label":"Louisiana","value":"LA"},{"label":"Maine","value":"ME"},{"label":"Maryland","value":"MD"},{"label":"Massachusetts","value":"MA"},{"label":"Michigan","value":"MI"},{"label":"Minnesota","value":"MN"},{"label":"Mississippi","value":"MS"},{"label":"Missouri","value":"MO"},{"label":"Montana","value":"MT"},{"label":"Nebraska","value":"NE"},{"label":"Nevada","value":"NV"},{"label":"New Hampshire","value":"NH"},{"label":"New Jersey","value":"NJ"},{"label":"New Mexico","value":"NM"},{"label":"New York","value":"NY"},{"label":"North Carolina","value":"NC"},{"label":"North 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Other"}]},{"type":"paragraph","subtype":"p","label":"<hr>","className":"d-block"},{"type":"header","subtype":"h4","label":"Household Member 2","className":"d-block"},{"type":"text","label":"Member 2 - First Name","name":"Member-2---First-Name","className":"col-lg-4","subtype":"text"},{"type":"text","label":"Member 2 - Last Name","name":"Member-2---Last-Name","className":"col-lg-4","subtype":"text"},{"type":"text","label":"Member 2 - Social Security Number","name":"Member-2---Social-Security-Number","className":"col-lg-4","subtype":"text"},{"type":"radio-group","label":"Member 2 - Full-Time Student?","inline":true,"name":"Member-2---Full-Time-Student","className":"col-lg-4","values":[{"label":"Yes","value":"Yes"},{"label":"No","value":"No"}]},{"type":"text","label":"Member 2 - Relationship to Head","name":"Member-2---Relationship-to-Head","className":"col-lg-4","subtype":"text"},{"type":"date","label":"Member 2 - Date of 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Columbia","value":"DC"},{"label":"Florida","value":"FL"},{"label":"Georgia","value":"GA"},{"label":"Hawaii","value":"HI"},{"label":"Idaho","value":"ID"},{"label":"Illinois","value":"IL"},{"label":"Indiana","value":"IN"},{"label":"Iowa","value":"IA"},{"label":"Kansas","value":"KS"},{"label":"Kentucky","value":"KY"},{"label":"Louisiana","value":"LA"},{"label":"Maine","value":"ME"},{"label":"Maryland","value":"MD"},{"label":"Massachusetts","value":"MA"},{"label":"Michigan","value":"MI"},{"label":"Minnesota","value":"MN"},{"label":"Mississippi","value":"MS"},{"label":"Missouri","value":"MO"},{"label":"Montana","value":"MT"},{"label":"Nebraska","value":"NE"},{"label":"Nevada","value":"NV"},{"label":"New Hampshire","value":"NH"},{"label":"New Jersey","value":"NJ"},{"label":"New Mexico","value":"NM"},{"label":"New York","value":"NY"},{"label":"North Carolina","value":"NC"},{"label":"North 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Other"}]},{"type":"paragraph","subtype":"p","label":"<hr>","className":"d-block"},{"type":"header","subtype":"h4","label":"Household Member 3","className":"d-block"},{"type":"text","label":"Member 3 - First Name","name":"Member-3---First-Name","className":"col-lg-4","subtype":"text"},{"type":"text","label":"Member 3 - Last Name","name":"Member-3---Last-Name","className":"col-lg-4","subtype":"text"},{"type":"text","label":"Member 3 - Social Security Number","name":"Member-3---Social-Security-Number","className":"col-lg-4","subtype":"text"},{"type":"radio-group","label":"Member 3 - Full-Time Student?","inline":true,"name":"Member-3---Full-Time-Student","className":"col-lg-4","values":[{"label":"Yes","value":"Yes"},{"label":"No","value":"No"}]},{"type":"text","label":"Member 3 - Relationship to Head","name":"Member-3---Relationship-to-Head","className":"col-lg-4","subtype":"text"},{"type":"date","label":"Member 3 - Date of 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