Complete our Letter of Interest Form

Letter of Interest Contact Information

Please indicate your role/interest in our program*

Other area of interest

If parent or guardian of a special needs /neurodivergent child:

How would you describe yourself?

Neurodivergent is a nonmedical term that describes people whose brain develops or works differently for some reason. This means the person has different strengths and struggles from people whose brains develop or work more typically. While some people who are neurodivergent have medical conditions, it also happens to people where a medical condition or diagnosis hasn’t been identified. The term for people who aren’t neurodivergent is “neurotypical.” Source – Cleveland Clinic:

First Name*

Last Name*

Email*

Cell Phone*

Prospective Resident Details

If you are filling this out for yourself as a potential resident, fill in your name and details. Otherwise, enter your child’s name and details if you are submitting this as their parent or guardian.

First Name*

Last Name*

Sexual Orientation*

Please choose the appropriate option

Preferred gender pronouns*

Please choose the appropriate option

Birthdate*

Please enter your birthdate or the birthdate of the person you are submitting this for.

Neurodivergent or Neurotypical?*

Neurodivergent is a nonmedical term that describes people whose brain develops or works differently for some reason. This means the person has different strengths and struggles from people whose brains develop or work more typically. While some people who are neurodivergent have medical conditions, it also happens to people where a medical condition or diagnosis hasn’t been identified. The term for people who aren’t neurodivergent is “neurotypical.” Source – Cleveland Clinic:

People who identify themselves as neurodivergent typically have one or more of the conditions or disorders listed above. However, since there aren’t any medical criteria or definitions of what it means to be neurodivergent, other conditions also can fall under this term as well. People with these conditions may also choose not to identify themselves as neurodivergent. Source – Cleveland Clinic:

Coliving vs. Cohousing

Cohousing is an intentional community of private homes clustered around shared space. Each home has traditional amenities, including a private kitchen. Shared spaces typically feature a common house, which may include a large kitchen and dining area, laundry, and recreational spaces. Shared outdoor space may include parking, walkways, open spaces, and gardens. Households have independent incomes and private lives, but neighbors collaboratively plan and manage community activities and shared spaces. Coliving is similar, but all the people are living under one roof/a single-family home.

The resident’s Level of Support needs (L1-L9) are best described as…*

I am interested in the following type of community*

If other:

Other type of community

Please describe your choice of other type of community

Which county would the resident/applicant prefer to live in?*

If other:

Other Counties of Interest

Please describe which other Counties are of interest to you or the resident/applicant

Acknowledgment & Consent

This document is non-binding. By completing and signing, it does not bind me to accept nor FPC to offer acceptance into their program. I will complete the Front Porch Cohousing application process at the appropriate time to determine if I or my dependent is eligible to live in the community.

Consent

By checking this box and entering my initials below, I warrant that I possess all the rights, powers, and privileges of a parent, legal guardian, or potential resident necessary to submit this document.

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