PURPOSE OF THIS FORM

This application form is designed to collect specific information from applicants seeking housing in accordance with section 26 (c) of the Freedom of Information and Protection of Privacy Act (the FOI Act). The New Vista Society will use this information to determine your eligibility for housing and the types of accommodation that best suite your needs.

 

HOW TO APPLY

Complete the attached application for accommodation and return to the above address.

    Please select the unit size you wish to apply for Studio (approx 345 sq ft)1 Bedroom (approx 589 sq ft)2 Bedroom (approx 821 sq ft)3 Bedroom (approx 1049 sq ft)

    A. Applicants: (Person (s) asking for accommodation)

    Last Name

    First Name

    Pronoun

    B. Applicant’s Contact Information-Current address

    Street Address

    City and Province

    Postal Code

    Home Phone

    WorkPhone

    Message Phone

    Email

    Have your received a Notice to End Tenancy from your landlord? YesNo

    C. Household Information; List all people applying for housing (including yourself)

    Last Name

    First Name

    Relationship

    Birthdate

    Status in Canada

    D. Residency History (Please provide information on last three landlords.)

    Rental Address

    From Date

    To Date

    Landlord Name

    Landlord Phone #

    Reason for Leaving

    E. Employment status and income verification (proof of income is required prior to an offer of housing).

    Information to be provided for each person in the household over 19.

    Current Employer

    Address

    Phone

    Supervisor

    How long have you worked there

    Position

    Wage Type HourlySalary

    Annual Income

    Current Employer

    Address

    Phone

    Supervisor

    How long have you worked there

    Position

    Wage Type HourlySalary

    Annual Income

    Current Employer

    Address

    Phone

    Supervisor

    How long have you worked there

    Position

    Wage Type HourlySalary

    Annual Income

    F. References (Example current employer, friend or associate, other than relative)

    Name

    Relationship

    Phone Number

    Name

    Relationship

    Phone Number

    Name

    Relationship

    Phone Number

    Do you own a Car (s) ?

    Make

    APPLICATION FORM DECLARATION

    I/We declare:

    • this is my/our application; and

    • all the information in it is correct and complete to the best of my/our knowledge.

    I/We authorize:

    • pursuant to the Freedom of Information and Protection of Privacy Act (FOI Act), The New Vista Society to make any inquiries that are necessary to verify the information given in this application.

    • my References as listed above to release information regarding my employment and/or past/current tenancies. I also authorize a credit check to be completed.

    I/We understand:

    • that false information given by me/us may result in my/our application being cancelled from consideration

    • An application does not guarantee tenancy