Silver Sky Assisted Living Interest List

Silver Sky Assisted Living Interest Form

This form for Silver Sky and Silver Sky at Deer Springs Assisted Living is not an application or waitlist. By completing this form, you are expressing an interest in Silver Sky Assisted Living or Silver Sky at Deer Springs Assisted Living and helping our team determine your eligibility. Forms are reviewed on a first-come-first-serve basis, and you will be contacted if further information is required. Please do not submit more than one form per community.

If you are interested in another one of our other communities, please visit our website for a full list of our communities. Here, you can select which property you are interested in and complete the interest form on the property’s website. Thank you!

Are all household members 55 years of age or older?*

Yes No

Thank you for your interest in Silver Sky and Silver Sky at Deer Springs Assisted Living. Unfortunately, based on your responses to this form, you do not meet the eligibility requirements for this community; however, Nevada HAND has several communities throughout Southern Nevada that you may qualify for. To learn more about Nevada HAND's communities, please click here to visit the Explore Our Homes page on our website. Here, you will find lists of available family, senior, and assisted living communities, as well as our entire portfolio of properties.

Name*

First Name

Last Name

Email*

Phone*

How many people will be living in your household?*

How many bedrooms will you need?*

What is your household’s gross monthly income?*

Your household's gross monthly income is the total combined income of all persons in your household.

When are you available to move in? Please indicate which month you would be able to move in.*

Are you a Veteran or the surviving spouse of a Veteran? *

Yes No

If so, there are funding sources that you may be entitled to if you reside in an assisted living.

Are you or any member of the household on any public assistance program or the Nevada Check-up (Medicaid)?*

Yes No

If so, you may be entitled to additional benefits through the Frail and Elderly Waiver program.

Do you or the household member receive Housing Choice Voucher (Section 8)?*

Yes No

Additional Comments/Questions:

Silver Sky and Silver Sky at Deer Springs Assisted Living does not discriminate and does not permit discrimination, including, without limitation, bullying, abuse, or harassment, on the basis of actual or perceived race, color, religion, national origin, ancestry, age, gender, physical or mental disability, sexual orientation, gender identity or expression or HIV status, or based on association with another person on account of that person's actual or perceived race, color, religion, national origin, ancestry, age, gender, physical or mental disability, sexual orientation, gender identity or expression or HIV status.