Name(Required) First Last Phone(Required)Email(Required) Enter Email Confirm Email What is your age?(Required)Under 55Over 55Either you or your spouse must be over 55 to qualify for senior housing.Marital status(Required) Married Common Law Single Spouse name First Last What is your spouse's age?Under 55Over 55Do you have children who reside with you?(Required) Yes No Children are not permitted in senior housing. Please apply for family housing. Family OptionsIs your household’s total gross income $3200 - $10,000/month?(Required) Yes No Your total gross income must be $3200 - $10,000 in order to qualify for this housing.What is your pre-tax (gross) total household income? (Everyone over 19 years.)(Required) Is everyone in your household is a Canadian Citizen, Permanent Resident, or have Refugee Status?(Required) Yes No Your citizenship status prevents you from qualifying for our housing. Do you have pets?(Required) Yes No What type of pet?(Required)Certain types of pets are allowed at different buildings. Fish or birds Cat or dog Other type of pet NameThis field is for validation purposes and should be left unchanged.
