Online Application Form for Workforce Housing

It is important that you complete all sections of the application form.

This application is designed to collect specific information from prospective tenant (s) seeking residential rental in accordance with the Freedom of Information and Protection of Privacy Act. The developer or their designated agent will use this information to determine eligibility and acceptance.

Unit Information

What type of suite would you prefer?*

(Check all preferred suite types that you are willing to accept if available)

1 Bedroom (Loft)

1 Bedroom + Den

2 Bedroom (Townhome)

1 Bedroom

2 Bedroom

2 Bedroom + Den

Accessible Unit

Date occupancy desired*

DD slash MM slash YYYY

Do you require parking (Additional charges apply)?

Yes

Do you require bike storage? (Additional Charges Apply)

Yes

EV required?

Yes

Landlord's Name: Musqueam Capital Corporation - 202-5704 Balsam Street, Vancouver, BC, V6M 4B9 - lelem@musqueam.bc.ca Phone: (604) 559-5400

Contact Information for Leasing Inquiries: lelem@dorsetrealty.com Phone: 778-730-1621

Personal Information (Primary Applicant)

First Name of Applicant*

Last Name of Applicant **

Phone*

Email Address*

Enter Email Confirm Email

Date of Birth*

MM slash DD slash YYYY

Social Insurance Number

Current Information

Current Address

City

Rent Amount

Current Landlord Name

Move-In Date

MM slash DD slash YYYY

Current Landlord Email Address

Move-Out Date

MM slash DD slash YYYY

Current Landlord Phone Number

Reason for Leaving

Move-In Date (Previous Landlord)

MM slash DD slash YYYY

Move-Out Date (Previous Landlord)

MM slash DD slash YYYY

Reason for Leaving

Emergency Contact

Phone Number (Emergency Contact)

Employment Information

Current Employer

Employer Email Address

Employer Phone Number

Superior/Manager Name

Occupation

Average Monthly Earnings/Salary

Length of Employment

Personal Information (Secondary Applicant)

Name of Applicant*

Phone*

Email Address*

Enter Email Confirm Email

Date of Birth*

MM slash DD slash YYYY

Social Insurance Number

Current Information

Current Address

City

Rent Amount

Current Landlord Name

Move-In Date

MM slash DD slash YYYY

Current Landlord Email Address

Move-Out Date

MM slash DD slash YYYY

Current Landlord Phone Number

Reason for Leaving

Move-In Date (Previous Landlord)

MM slash DD slash YYYY

Move-Out Date (Previous Landlord)

MM slash DD slash YYYY

Reason for Leaving

Emergency Contact

Phone Number (Emergency Contact)

Employment Information

Current Employer

Employer Email Address

Employer Phone Number

Superior/Manager Name

Occupation

Average Monthly Earnings/Salary

Length of Employment

Total Number of Adults (Including Yourself)

Total Number of Children Under 18

Children Ages (If Applicable)

Application Form Consent

Income clause

This building has 62 units and are rented under the Housing Income Limits (HIL’s) affordable housing program. The HIL’s are based on figures established by Canada Mortgage and Housing Corporation (CMHC) and are intended to reflect the maximum income required to afford appropriate accommodation in the private market. To be eligible to rent the Housing Income Limits (HILs) homes, the total household income must meet the Eligible Tenant Household Income requirements, which are based on the Annual Housing Income Limits (HILs).

Please read and check each statement below if you consent to the following:

Consent

I/ We hereby give consent to the developer and their agent to obtain credit, personal and employment information from one or more consumer reporting agencies and from other sources of information.

Consent

I/We hereby authorize agencies or individuals to provide information they have that is relevant to the assessment of the application for tenancy. Pursuant to the Freedom of Information and Protection of Privacy Act, the developer or their designated agent can make any inquiries that are necessary to verify information given in this application.

Consent

I/We certify that the information on this form is true, correct and complete in every respect to the best of my/our knowledge and can be verified by developer or their designated agent, including obtaining personal reports on me/ us from one or more agencies or individuals. I understand a credit check will be completed when an applicant is not able to provide satisfactory references and income verification.

Consent

I/We understand this application does not constitute an agreement to provide me/us with rental accommodation

Consent

It is my/our responsibility to advise the developer and their designated agent, of any changes to the information given in this application and to provide relevant supporting materials or required or requested.

Please type your full name in the field below to indicated that you agree to the terms of this application. Your digital signature will be binding as your actual signature.

1st Applicant Name*

1st Applicant Signature

Date

MM slash DD slash YYYY

2nd Applicant Name*

2nd Applicant Signature

Date

MM slash DD slash YYYY

All prices, incentives and promotions are subject to change and can be withdrawn at any time. All renderings are artistic interpretations, for illustrative purposes only. The developer reserves the right to make changes and modifications to the information contained herein without prior notice. Dimensions, sizes, areas, specifications, layouts and materials are approximate only and subject to change without notice. E.&O.E. This is not an offering for sale. Any such offering can only be made by disclosure statement.