PILLAR HOUSING

Service Providers and Operators interested in working with us can begin the process by providing some details about their organization.

Application - Phase 1

SECTION 1 - OPERATOR INFORMATION

Please take about 5 - 10mins to fill out this survey so that we can learn more about you & your organization.

1.) Name

First Name

Last Name

2.) Email

3.) Phone

(###)

###

####

4.) How did you hear about us?

5.) If we are a good fit, how would you prefer we contact you?

Phone

Other

6.) Did you watch the 90 second video in the "Home" Page? (if "No" kindly go back and watch.)

Please Select

SECTION 2 - CURRENT OPERATIONS

In this section, we will ask you a little about your organization.

1.) What is the name of your company/organization?

2.) Are you currently running/operating a facility?

Please select

3.) If "yes," which license(s) do you have? If "no," respond "N/A."

4.) Company/Organization URL/Website?

5.) Which Cities/States do you currently operate?

6.) How many beds do you currently operate?

7.) How much are you currently paying on your lease/mortgage per month for your current business(es)?

8.) In your current business, where do you receive your residents from?

9.) What is your experience level in this business? Please select one.

10.) If you have little to NO experience, who are you working with to help you with Licensing/Policies & Procedures/Compliance/Operations/etc.? What is their experience level?

11.) To help us get a better understanding of your organization, in a few words, how would you describe the way your organization serves its clients? (ie: "We offer drug-rehabilitation services to our clients." OR "We provide shelter-in-place for youth who've been abused.")

12.) Have you ever been convicted of a crime (either civil, criminal or etc.)?

13.) If "yes" to the previous question, please explain the situation here.

14.) Have you ever been evicted or cancelled a lease?

15.) If "yes" to the previous question, please explain the situation here.

SECTION 3 - WORKING WITH US

In this section, we will ask you about what your current housing goals and needs are.

1.) What are your organization's current goals & how can we help you achieve them?

2.) What do you feel is your biggest obstacle to hitting your housing goal(s) this year?

3.) How many facilities do you need?

4.) How soon do you need a facility?

5.) What are your preferred location(s)?

6.) If working with us, which of the following do you prefer to do? (If "Other," please explain.)

7.) For a lease, what is an ideal monthly rate? If unsure, please provide a min/max range that we can work with.

8.) Would you like to hear about our Rent-to-Own Program for Operators & Service Providers?

9.) Would you/your organization need help with licensing/compliance/etc?

10.) Do you have your Organization's financial data available? (ie: last 2 years tax returns, bank statements & profit and loss statements, etc.) ***PLEASE NOTE: we will need to see accurate financial information before we can safely move forward in serving your needs.

11.) Do you have at least 6-12 months of expenses in reserves?

12.) Is there anything else that you would like for us to know about you/your organization/your goals?

13.) What questions do you have for us at this time?