Monday 22 October, 2018

RESIDENTIAL APPLICATIONS

New Residency Application

Physician Referral Form
Download As part of the application process, please print this document and ask the applicant's physician to complete and sign.
* For applications to the Swedish Assisted Living Residence Only.

Please indicate the residence you would like to apply for.


TO ASSIST US IN THE RENTAL PROCESS WE ARE REQUESTING THE FOLLOWING INFORMATION


1. INCOME INFORMATION

I declare my monthly income and Assets are:
Assets

2. CURRENT HOUSING
Do you:

3. HEALTH CONDITIONS OR DISABILITIES
Do you:

4. Parking

5. Contact Person
When I am not available, you may contact the following person(s) regarding my application.
DECLARATION AND CONSENT
  • I understand that my information provided in this application may be shared between BC Housing for statistical information regarding age, income and rent.
  • I understand that this information will not be used for any other purpose than to consider my application for Supportive Housing.
  • I understand the person I have designated as my contact person may be contacted regarding this application.
  • I agree that my Landlord may be contact to provide information regarding my tenancy.
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Enquiries

General information and enquiries regarding suite availability are welcomed by our management team.

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