moderate Application Request

If your household income qualifies for Moderate Income, you may fill out the form below to request an application for the Moderate Income Waiting List. If you qualify, you will receive the Moderate application via email. Should your household not meet the minimum income, you may contact our office in January to learn about future waiting list openings.

Gross Income is the total income before taxes or other deductions. You may include all income sources except for financial aid and SNAP/Cal Fresh/Food Stamps

Join our Mailing List

Sign up to receive BHC News updates via email