PAUL MCDONELL RESIDENCE APPLICATION

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