New Residency Application

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


    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.


    Residences

    Assisted Living Residence

    Offers a total of 64 one bedroom homes comprised of 18 private one bedroom homes and 46 Assisted Living homes subsidized by Fraser Health Authority.

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    Gustav Wasa Place

    80 1-bedroom suites of approximately 512 sf. with all apartments rent subsidized by BC Housing.Gustav Wasa Place residence features wheelchair accessible units & an amenities area.

    Read More >

    Swedish Canadian Manor

    The Swedish Canadian Manor has 63 suites; 41 bachelor suites of approximately 347 sf and 22 one-bedroom suites of approximately 480 sf.

    Read More >