Thank you for your interest in residing at The Pryde.
Studio, 1- & 2-Bedroom Senior (62+) Apartment Homes

JOIN THE WAITLIST:• The lottery application period is now closed. However, you may submit a Pre-application to
be added to the waitlist to be considered for future occupancy.
• Pre-application MUST be filled out in its entirety to be eligible for housing (one pre-application perhousehold). Applicants must be 62 years of age or older at lease signing.
• All Pre-applications MUST be submitted via US Mail to:
The Pryde, 55 Harvard Ave, Attn: MGMT OFFICE, Hyde Park, MA 02136• The following income restrictions apply: (Effective 4/2024, subject to change)

FOR MORE INFORMATION:
ThePryde.com I ThePryde@Pennrose.com
T: 781.558.9273 I TTY: 711

MAIL TO:55 Harvard Avenue
Attn: MGMT OFFICE
Hyde Park, MA 02136
781.558.9273
617.850.8682
ThePryde@pennrose.com
711

Phone:
Fax:
Email:TTY:

To be completed by office staff:
Application Number ________________
Date Application Rec’d _____________
Time Application Rec’d ____________
Initials of Staff Member _____________All Pre-Applications MUST BE Sent via U.S. Mail and Addressed to:
The Pryde, 55 Harvard Ave, Attn: MGMT OFFICE, Hyde Park, MA 01236
HEAD OF HOUSEHOLDNAME:(First)(Middle Initial)

Pronoun(s): __________________SSN:(Last)GENDER IDENTITY OR EXPRESSION: ❏ Male ❏ Female ❏ Non-Binary ❏ Other: ____________ ❏ Choose Not to Share
CURRENT ADDRESS:(City)(House #)(Street Name)(State)(Apt. #)

(Zip Code)HOME #:
CELL #:WORK #:EMAIL:

D.O.B:How did you hear about us?

DRIVER LICENSE STATE:DRIVER LICENSE NUMBER:

Google/Newspaper/LGBTQ Senior Housing/Metrolist/Signage/Etc.

HOUSEHOLD MEMBERS
NameDOB

GenderRelationshipSoc. Sec. Number

DL State & Number

ANNUAL HOUSEHOLD INCOME(Gross Income Before Deductions)

Gross Employment/Wages
Social Security Income
Social Security Disability Income
Public Assistance (Welfare/TANF)
Child Support
Pension
Payments from Gig Income (Uber, Lyft, Instacart, Venmo, Cash App, etc)
Assets (Approximate Total Balance of Checking, Savings, 401(k), IRA, etc.)
Other Income (Please Specify):$$$$$$$$$

perperperperperperperperper(Circle One)Year / Month
Year / Month
Year / Month
Year / Month
Year / Month
Year / Month
Year / Month
Year / Month
Year / MonthPage 2Preferences for Determining Waiting List Position (if applicable)
Do you or any member of your household have a DISABILITY?
Is the Head of Household or Spouse 62 years of age or older?
Are you currently employed?
What year did you last file taxes?
Are you a student or recent graduate of an educational or training program?
Do you have a portable section 8 voucher (HCVP)?
If yes above, through what agency?
Are you homeless?
Do you require a unit with special features? (e.g. unit for mobility impaired, visually impaired, hearing
impaired, walk-in shower, grab bars, no steps, etc.)
If yes above, please circle features required:
Unit for mobility impaired
Unit for visually impaired
Unit for hearing impaired
Grab bars
No steps
Other:
Describe:
Do you have any pets that will be residing with you?

Pet policy: 2 pet maximum, 35 lb. limit each. Breed restrictions apply. Additional security deposit required.

If yes to above, how many?
How many bedrooms are you interested in?

1st Preference:YYYNNNYYNNYNYNYN

2nd Preference:

I hereby certify that the above is true and correct and complete to the best of my knowledge. I understand that any false
statement or misrepresentation will be grounds for expulsion from the program and/or prosecution under Title 18,
Section 1001 of the US Code.
I, _______________________________________, hereby give my permission for a credit and criminal backgroundcheck, which is part of the application process.
I, _______________________________________, hereby give my permission for a credit and criminal backgroundcheck, which is part of the application process.
I, _______________________________________, hereby give my permission for a credit and criminal backgroundcheck, which is part of the application process.

Applicant Signature:

Date:

Applicant Signature:

Date:

Applicant Signature:

Date:**Important: You must notify us promptly should any
information on this application change
July 2024