Apply
In order to process your application for admission the following required information must be turned in with your application:
- Copy of Social Security Card(s)
- Verification of Income
- Copy of Picture ID (Adults)
- Copy of Certified Birth Certificates (Minors)
- Landlord Verification (needs to be signed)
- Citizenship Form (needs to be signed for each household member)
- Authorization for Release of Information (needs to be signed for all 18 years and older)
- Applicant's Statement
- Debts Owed to PHAs Statement
Please remember that failure to provide this information will result in your application not being processed. All required information must be turned in with your application, not later.
Please use the links below to complete your Application.
- Application for Admission
- Authorization for Release of Information
- Debts Owed to PHAs Statement
- Section 214 Status
- Applicant/Tenant Statement
- Employment Verification
- Landlord Verification
Applications may be dropped off at the main office:
500 Mt. Bethel Church Street
Roxboro, NC 27573
or mailed to:
PO Box 996
Roxboro, NC 27573
For additional information contact Teresa Jefferys 336-599-8616 or directly at (336) 583-7381.