First & Last Name *

Co-Applicant’s First & Last Name

Current Address *

Co-Applicant’s Current Address

Phone Number *

Co-Applicant’sPhone Number

Email Address *

Co-Applicant’s Email Address

Date of Birth *

Co-Applicant’s Date of Birth

Preferred Pronouns

Co-Applicant’s Preferred Pronouns

Source of Income (EIA, Employer’s name/business, other) *

Co-Applicant’s Source of Income (EIA, Employer’s name/business, other) *

Citizenship Status (Please select one) *Canadian CitizenPermanent ResidentRefugeeOther*

*If "Other" please state

Co-Applicant’s Citizenship Status (Please select one) *Canadian CitizenPermanent ResidentRefugeeOther*

*If "Other" please state

Unit Required (please select one) *Bachelor SuiteOne Bedroom SuiteAccessible 1 Bedroom Suite

Parking Required (please select one) *None1 Spot2 Spots