If you’re unable to visit us, and wish to submit an application by mail, e-mail or online please follow the directions below.
Complete Application Here
$linktext_start$Click here to print the application!$linktext_end$ $linkurl_start$/wp-content/uploads/2015/09/Application-Market-Rate.pdf$linkurl_end$


Please complete and sign the application and include the following items with your application:

One time application fee of $25 for each adult (age 18 and older). This fee must be included in the form of a Money Order or Cashier’s Check and is non-refundable.

Copies of the most recent paystub for each adult member to verify income.

The application fee(s) of $25 for each adult must be in separate payment orders.


Mail us your application to: $linktext_start$202 4th Street, Des Moines, IA 50309 $linktext_end$ $linkurl_start$,-93.6241817,17z/data=!3m1!4b1!4m2!3m1!1s0x87ee99000ba4bf59:0x384b768ee20fe810$linkurl_end$


E-mail us your application at: $emailtext_start$$emailtext_end$ $emailurl_start$$emailurl_end$