Trueman House Application March 5, 2017 larissa Name* First Last Gender* Male Female Date of Birth* Month Day Year Nationality*What country are you from? Email Phone*Current Residence*Where you live right now? Can be the name of an apartment complex, a city, etc. Reason for moving*Please explain briefly why you are moving, or why you would like to live in the Trueman House. Potential Move-in Date*Give a general date when you would like to move in. MM slash DD slash YYYY Do you smoke?* Yes No Which room would you like to rent?* A small bedroom The large bedroom Are you in agreement with the vision and purpose of the Trueman House (stated above)?* Yes No Please note that submitting an application does NOT guarantee a room at Trueman. Also be aware that by applying to stay at the Trueman House you agree to an in-person or Skype interview with the IFI Dayton directors to determine if you align with its vision and purpose.