Housing Application

About You

First Name *

Last Name *

Middle Name

Date of Birth

Status No

Contact

Phone

Cell

Preferred Contact Method

Current Address

Address

City

Province

Postal Code

Housing Need

Family Size

Bedrooms Needed

Date Needed By

Preferred Area

Place me on the housing waiting list We are expecting a baby

Due Date

Someone in the household has accessibility / support needs

Please describe

Household Members

Everyone who will live in the home with you, including a spouse or partner (do not include yourself).

Maximum of 20 members reached.

Where Do You Live Now?

Living Situation

Situation Detail

Please describe

Bedrooms

People in Home

Adults (18+)

Children (under 18)

Monthly Rent / Payment

Unit # (if on reserve)

Furnished Basement Basement finished

Current Landlord

Name

Phone

Address

City

Province

Postal

Previous Landlord (if any)

Name

Phone

Address

City

Province

Postal

Utilities & Appliances

Do you currently pay for:

Power Water Heat

I own my own appliances

Which appliances?

References

You may list up to 3 people the housing office can contact as a reference.

Supporting Documents

Optional. Add any documents that support your application, such as identification or proof of income. You can take a photo with your phone or choose a file. PDF, photo or Word files, up to documents of MB each.

Add Documents

Finances

Do you currently owe any money to the Nation? (for example rent arrears, loans or utilities) *

Please tell us more (optional)

Consents

I consent to the verification of my income and identification for the purpose of this application. I consent to the housing office contacting relevant agencies in relation to this application. I consent to a review of any housing arrears on file.

Declaration

I understand that submitting this form does not guarantee housing or a place on the waiting list. All applications are reviewed by the housing staff under the Nation's housing policy, and homes are offered based on need and availability. *

I declare that the information given in this application is true and complete to the best of my knowledge. Typing my full name below acts as my signature.

Type Your Full Name *

Co-Applicant Full Name (optional)

Signature date: (the official date is recorded when you submit)

Review Your Application

Please complete the following before submitting:

Applicant
Date of Birth
Contact
Household Members
Family Size
Bedrooms Needed
Date Needed
Living Situation
Join Waiting List
Owes Money to the Nation
References

Documents
Signed By

Tap a step above or use the Back button to change anything before you submit.

Application submitted

About You

Contact

Current Address

Housing Need

Household Members

Where Do You Live Now?

Current Landlord

Previous Landlord (if any)

Utilities & Appliances

References

Why Are You Applying?

Supporting Documents

Finances

Consents

Declaration

Review Your Application