Test housing form Step 1 of 10 10% General InformationNumber of Occupants:Adults*123456Children/Dependents*N/A12345Do you need an accessible unit?*NoYesPreferred Unit (Based on qualifying income & occupancy): Studio: Max # of Occupants: 2 One-bedroom Max # of Occupants: 2 Two-bedroom: Family of 4 OR up to 3 non-related adults Four-bedroom: Family of 6 OR up to 4 non-related adults Preferred Unit type*StudioOne-bedroomTwo-bedroomFour-bedroom Applicant 1Each adult identified on this form is required to complete the applicant information.Applicant Name*Please use your legal name. First Last What are your pronouns?*She/her/hersHe/him/hisThey/them/theirsOtherPrefer not to sayI use these pronouns:* Do you identify as an Indigenous person?*NoYesHow can we contact you?*PhoneEmailPhone & EmailPhone*Email* Date of Birth* MM slash DD slash YYYY Do you have a vehicle?*YesNoVehicle type:* Applicant 1: EmploymentWhat is your current employment status?*I’m employed by a business operating in Banff National ParkI’m self-employed with a Banff business licenceI’m laid off due to Covid-19OtherPlease provide more detail on your employment status*Please provide more detail on your employment status Current/Most Recent Employer* Duration of Employment*Less than 3 months3-6 months6 months-1 year1-3 yearsMore than 3 yearsIs this your current employer?*YesNoEnd Date*When did you stop working for this employer? MM slash DD slash YYYY If you have two or more jobs, please list all of your employers Add employer Additional Employer* Duration of Employment*Less than 3 months3-6 months6 months-1 year1-3 yearsMore than 3 yearsIs this your current employer?*YesNoEnd Date*When did you stop working for this employer? MM slash DD slash YYYY Add employer Add employer Additional Employer* Duration of Employment*Less than 3 months3-6 months6 months-1 year1-3 yearsMore than 3 yearsIs this your current employer?*YesNoEnd Date*When did you stop working for this employer? MM slash DD slash YYYY Hours of Work (Weekly)* Annual Gross Income* Applicant 1: Current AccommodationCurrent Residence*Private RentalStaff AccommodationHostel/HotelStaying with a friendOtherPlease provide more detail about your current residence.*Please provide more detail about your current residence. Current Address* Street Address Address Line 2 City AlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNorthwest TerritoriesNova ScotiaNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukon Province Postal Code What is your current monthly rent?* Applicant 2Each adult identified on this form is required to complete the applicant information.Applicant Name*Please use your legal name. First Last What are your pronouns?*She/her/hersHe/him/hisThey/them/theirsOtherPrefer not to sayI use these pronouns:* Do you identify as an Indigenous person?*NoYesHow can we contact you?*PhoneEmailPhone & EmailPhone*Email* Date of Birth* MM slash DD slash YYYY Do you have a vehicle?*YesNoVehicle type:* Applicant 2: EmploymentWhat is your current employment status?*I’m employed by a business operating in Banff National ParkI’m self-employed with a Banff business licenceI’m laid off due to Covid-19Other2*Please provide more detail on your employment status Current/Most Recent Employer* Duration of Employment*Less than 3 months3-6 months6 months-1 year1-3 yearsMore than 3 yearsIs this your current employer?*YesNoEnd Date*When did you stop working for this employer? MM slash DD slash YYYY If you have two or more jobs, please list all of your employers Add employer Additional Employer* Duration of Employment*Less than 3 months3-6 months6 months-1 year1-3 yearsMore than 3 yearsIs this your current employer?*YesNoEnd Date*When did you stop working for this employer? MM slash DD slash YYYY Add employer Add employer Additional Employer* Duration of Employment*Less than 3 months3-6 months6 months-1 year1-3 yearsMore than 3 yearsIs this your current employer?*YesNoEnd Date*When did you stop working for this employer? MM slash DD slash YYYY Hours of Work (Weekly)* Annual Gross Income* Applicant 2: Current AccommodationCurrent Residence*Same as applicant 1Private RentalStaff AccommodationHostel/HotelStaying with a friendOtherPlease provide more detail about your current residence.*Please provide more detail about your current residence. Current Address* Street Address Address Line 2 City AlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNorthwest TerritoriesNova ScotiaNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukon Province Postal Code What is your current monthly rent?* Applicant 3Each adult identified on this form is required to complete the applicant information.Applicant Name*Please use your legal name. First Last What are your pronouns?*She/her/hersHe/him/hisThey/them/theirsOtherPrefer not to sayI use these pronouns:* Do you identify as an Indigenous person?*NoYesHow can we contact you?*PhoneEmailPhone & EmailPhone*Email* Date of Birth* MM slash DD slash YYYY Do you have a vehicle?*YesNoVehicle type:* Applicant 3: EmploymentWhat is your current employment status?*I’m employed by a business operating in Banff National ParkI’m self-employed with a Banff business licenceI’m laid off due to Covid-19Other3*Please provide more detail on your employment status Current/Most Recent Employer* Duration of Employment*Less than 3 months3-6 months6 months-1 year1-3 yearsMore than 3 yearsIs this your current employer?*YesNoEnd Date*When did you stop working for this employer? MM slash DD slash YYYY If you have two or more jobs, please list all of your employers Add employer Additional Employer* Duration of Employment*Less than 3 months3-6 months6 months-1 year1-3 yearsMore than 3 yearsIs this your current employer?*YesNoEnd Date*When did you stop working for this employer? MM slash DD slash YYYY Add employer Add employer Additional Employer* Duration of Employment*Less than 3 months3-6 months6 months-1 year1-3 yearsMore than 3 yearsIs this your current employer?*YesNoEnd Date*When did you stop working for this employer? MM slash DD slash YYYY Hours of Work (Weekly)* Annual Gross Income* Applicant 3: Current AccommodationCurrent Residence*Same as applicant 1 or 2Private RentalStaff AccommodationHostel/HotelStaying with a friendOtherPlease provide more detail about your current residence.*Please provide more detail about your current residence. Current Address* Street Address Address Line 2 City AlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNorthwest TerritoriesNova ScotiaNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukon Province Postal Code What is your current monthly rent?* Applicant 4Each adult identified on this form is required to complete the applicant information.Applicant Name*Please use your legal name. First Last What are your pronouns?*She/her/hersHe/him/hisThey/them/theirsOtherPrefer not to sayI use these pronouns:* Do you identify as an Indigenous person?*NoYesHow can we contact you?*PhoneEmailPhone & EmailPhone*Email* Date of Birth* MM slash DD slash YYYY Do you have a vehicle?*YesNoVehicle type:* Applicant 4: EmploymentWhat is your current employment status?*I’m employed by a business operating in Banff National ParkI’m self-employed with a Banff business licenceI’m laid off due to Covid-19OtherPlease provide more detail on your employment status*Please provide more detail on your employment status Current/Most Recent Employer* Duration of Employment*Less than 3 months3-6 months6 months-1 year1-3 yearsMore than 3 yearsIs this your current employer?*YesNoEnd Date*When did you stop working for this employer? MM slash DD slash YYYY If you have two or more jobs, please list all of your employers Add employer Additional Employer* Duration of Employment*Less than 3 months3-6 months6 months-1 year1-3 yearsMore than 3 yearsIs this your current employer?*YesNoEnd Date*When did you stop working for this employer? MM slash DD slash YYYY Add employer Add employer Additional Employer* Duration of Employment*Less than 3 months3-6 months6 months-1 year1-3 yearsMore than 3 yearsIs this your current employer?*YesNoEnd Date*When did you stop working for this employer? MM slash DD slash YYYY Hours of Work (Weekly)* Annual Gross Income* Applicant 4: Current AccommodationCurrent Residence*Same as applicant 1,2 or 3Private RentalStaff AccommodationHostel/HotelStaying with a friendOtherPlease provide more detail about your current residence.*Please provide more detail about your current residence. Current Address* Street Address Address Line 2 City AlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNorthwest TerritoriesNova ScotiaNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukon Province Postal Code Applicant 5Each adult identified on this form is required to complete the applicant information.Applicant Name*Please use your legal name. First Last What are your pronouns?*She/her/hersHe/him/hisThey/them/theirsOtherPrefer not to sayI use these pronouns:* Do you identify as an Indigenous person?NoYesHow can we contact you?*PhoneEmailPhone & EmailPhone*Email* Date of Birth* MM slash DD slash YYYY Do you have a vehicle?*YesNoVehicle type:* Applicant 5: EmploymentWhat is your current employment status?*I’m employed by a business operating in Banff National ParkI’m self-employed with a Banff business licenceI’m laid off due to Covid-19OtherPlease provide more detail on your employment status*Please provide more detail on your employment status Current/Most Recent Employer* Duration of Employment*Less than 3 months3-6 months6 months-1 year1-3 yearsMore than 3 yearsIs this your current employer?*YesNoEnd Date*When did you stop working for this employer? MM slash DD slash YYYY If you have two or more jobs, please list all of your employers Add employer Additional Employer* Duration of Employment*Less than 3 months3-6 months6 months-1 year1-3 yearsMore than 3 yearsIs this your current employer?*YesNoEnd Date*When did you stop working for this employer? MM slash DD slash YYYY Add employer Add employer Additional Employer* Duration of Employment*Less than 3 months3-6 months6 months-1 year1-3 yearsMore than 3 yearsIs this your current employer?*YesNoEnd Date*When did you stop working for this employer? MM slash DD slash YYYY Hours of Work (Weekly)* Annual Gross Income* Applicant 5: Current AccommodationCurrent Residence*Same as applicant 1,2,3 or 4Private RentalStaff AccommodationHostel/HotelStaying with a friendOtherPlease provide more detail about your current residence.*Please provide more detail about your current residence. Current Address* Street Address Address Line 2 City AlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNorthwest TerritoriesNova ScotiaNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukon Province Postal Code What is your current monthly rent?* Applicant 6Each adult identified on this form is required to complete the applicant information.Applicant Name*Please use your legal name. First Last What are your pronouns?*She/her/hersHe/him/hisThey/them/theirsOtherPrefer not to sayI use these pronouns:* Do you identify as an Indigenous person?*NoYesHow can we contact you?*PhoneEmailPhone & EmailPhone*Email* Date of Birth* MM slash DD slash YYYY Do you have a vehicle?*YesNoVehicle type:* Applicant 6: EmploymentWhat is your current employment status?*I’m employed by a business operating in Banff National ParkI’m self-employed with a Banff business licenceI’m laid off due to Covid-19OtherPlease provide more detail on your employment status*Please provide more detail on your employment status Current/Most Recent Employer* Duration of Employment*Less than 3 months3-6 months6 months-1 year1-3 yearsMore than 3 yearsIs this your current employer?*YesNoEnd Date*When did you stop working for this employer? MM slash DD slash YYYY If you have two or more jobs, please list all of your employers Add employer Additional Employer* Duration of Employment*Less than 3 months3-6 months6 months-1 year1-3 yearsMore than 3 yearsIs this your current employer?*YesNoEnd Date*When did you stop working for this employer? MM slash DD slash YYYY Add employer Add employer Additional Employer* Duration of Employment*Less than 3 months3-6 months6 months-1 year1-3 yearsMore than 3 yearsIs this your current employer?*YesNoEnd Date*When did you stop working for this employer? MM slash DD slash YYYY Hours of Work (Weekly)* Annual Gross Income* Applicant 6: Current AccommodationCurrent Residence*Same as applicant 1,2,3,4 or 5Private RentalStaff AccommodationHostel/HotelStaying with a friendOtherPlease provide more detail about your current residence.*Please provide more detail about your current residence. Current Address* Street Address Address Line 2 City AlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNorthwest TerritoriesNova ScotiaNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukon Province Postal Code What is your current monthly rent?* Children/DependentsDependent 1: Name* Dependent 1: Relationship to Applicant* Dependent 1: Date of Birth* MM slash DD slash YYYY Dependent 2: Name* Dependent 2: Relationship to Applicant* Dependent 2: Date of Birth* MM slash DD slash YYYY Dependent 3: Name* Dependent 3: Relationship to Applicant* Dependent 3: Date of Birth* MM slash DD slash YYYY Dependent 4: Name* Dependent 4: Relationship to Applicant* Dependent 4: Date of Birth* MM slash DD slash YYYY Dependent 5: Name* Dependent 5: Relationship to Applicant* Dependent 5: Date of Birth* MM slash DD slash YYYY Additional InformationHow did you hear about our new affordable housing program?*YWCA Social Media (Facebook, Instagram, Twitter)YWCA WebsiteReferred from another organizationBow Valley Home Finder (Facebook Group)Rocky Mountain OutlookThrough a friendOtherOther*Other: Please specify Organization*Which organization referred you? Please add any information that you feel may be relevant to your application here: FOIP Notification The personal information you provide on this form is being collected under the authority of Section 33(c) of Alberta’s Freedom of Information and Protection of Privacy Act. This information will be used by the YWCA Banff to determine eligibility for and to administer the affordable housing program. The privacy provisions of the Freedom of Information and Protection of Privacy Act protect your personal information. By signing below, I agree and give consent to the YWCA Banff to contact my employer(s) to collect/release my personal information in order to determine eligibility.Applicant 1 Signature*FOIP Notification The personal information you provide on this form is being collected under the authority of Section 33(c) of Alberta’s Freedom of Information and Protection of Privacy Act. This information will be used by the YWCA Banff to determine eligibility for and to administer the affordable housing program. The privacy provisions of the Freedom of Information and Protection of Privacy Act protect your personal information. By signing below, I agree and give consent to the YWCA Banff to contact my employer(s) to collect/release my personal information in order to determine eligibility.Applicant 2: Signature*FOIP Notification The personal information you provide on this form is being collected under the authority of Section 33(c) of Alberta’s Freedom of Information and Protection of Privacy Act. This information will be used by the YWCA Banff to determine eligibility for and to administer the affordable housing program. The privacy provisions of the Freedom of Information and Protection of Privacy Act protect your personal information. By signing below, I agree and give consent to the YWCA Banff to contact my employer(s) to collect/release my personal information in order to determine eligibility.Applicant 3: Signature*FOIP Notification The personal information you provide on this form is being collected under the authority of Section 33(c) of Alberta’s Freedom of Information and Protection of Privacy Act. This information will be used by the YWCA Banff to determine eligibility for and to administer the affordable housing program. The privacy provisions of the Freedom of Information and Protection of Privacy Act protect your personal information. By signing below, I agree and give consent to the YWCA Banff to contact my employer(s) to collect/release my personal information in order to determine eligibility.Applicant 4: Signature*FOIP Notification The personal information you provide on this form is being collected under the authority of Section 33(c) of Alberta’s Freedom of Information and Protection of Privacy Act. This information will be used by the YWCA Banff to determine eligibility for and to administer the affordable housing program. The privacy provisions of the Freedom of Information and Protection of Privacy Act protect your personal information. By signing below, I agree and give consent to the YWCA Banff to contact my employer(s) to collect/release my personal information in order to determine eligibility.Applicant 5: Signature*FOIP Notification The personal information you provide on this form is being collected under the authority of Section 33(c) of Alberta’s Freedom of Information and Protection of Privacy Act. This information will be used by the YWCA Banff to determine eligibility for and to administer the affordable housing program. The privacy provisions of the Freedom of Information and Protection of Privacy Act protect your personal information. By signing below, I agree and give consent to the YWCA Banff to contact my employer(s) to collect/release my personal information in order to determine eligibility.Applicant 6: Signature*