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Test housing form

Step 1 of 10

10%
  • General Information

  • Number of Occupants:
  • Preferred 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
Save and Continue Later
  • Applicant 1

    Each adult identified on this form is required to complete the applicant information.
  • Please use your legal name.
  • MM slash DD slash YYYY
  • Applicant 1: Employment

  • Please provide more detail on your employment status
  • When did you stop working for this employer?
    MM slash DD slash YYYY
  • When did you stop working for this employer?
    MM slash DD slash YYYY
  • When did you stop working for this employer?
    MM slash DD slash YYYY
  • Applicant 1: Current Accommodation

  • Please provide more detail about your current residence.
Save and Continue Later
  • Applicant 2

    Each adult identified on this form is required to complete the applicant information.
  • Please use your legal name.
  • MM slash DD slash YYYY
  • Applicant 2: Employment

  • Please provide more detail on your employment status
  • When did you stop working for this employer?
    MM slash DD slash YYYY
  • When did you stop working for this employer?
    MM slash DD slash YYYY
  • When did you stop working for this employer?
    MM slash DD slash YYYY
  • Applicant 2: Current Accommodation

  • Please provide more detail about your current residence.
Save and Continue Later
  • Applicant 3

    Each adult identified on this form is required to complete the applicant information.
  • Please use your legal name.
  • MM slash DD slash YYYY
  • Applicant 3: Employment

  • Please provide more detail on your employment status
  • When did you stop working for this employer?
    MM slash DD slash YYYY
  • When did you stop working for this employer?
    MM slash DD slash YYYY
  • When did you stop working for this employer?
    MM slash DD slash YYYY
  • Applicant 3: Current Accommodation

  • Please provide more detail about your current residence.
Save and Continue Later
  • Applicant 4

    Each adult identified on this form is required to complete the applicant information.
  • Please use your legal name.
  • MM slash DD slash YYYY
  • Applicant 4: Employment

  • Please provide more detail on your employment status
  • When did you stop working for this employer?
    MM slash DD slash YYYY
  • When did you stop working for this employer?
    MM slash DD slash YYYY
  • When did you stop working for this employer?
    MM slash DD slash YYYY
  • Applicant 4: Current Accommodation

  • Please provide more detail about your current residence.
Save and Continue Later
  • Applicant 5

    Each adult identified on this form is required to complete the applicant information.
  • Please use your legal name.
  • MM slash DD slash YYYY
  • Applicant 5: Employment

  • Please provide more detail on your employment status
  • When did you stop working for this employer?
    MM slash DD slash YYYY
  • When did you stop working for this employer?
    MM slash DD slash YYYY
  • When did you stop working for this employer?
    MM slash DD slash YYYY
  • Applicant 5: Current Accommodation

  • Please provide more detail about your current residence.
Save and Continue Later
  • Applicant 6

    Each adult identified on this form is required to complete the applicant information.
  • Please use your legal name.
  • MM slash DD slash YYYY
  • Applicant 6: Employment

  • Please provide more detail on your employment status
  • When did you stop working for this employer?
    MM slash DD slash YYYY
  • When did you stop working for this employer?
    MM slash DD slash YYYY
  • When did you stop working for this employer?
    MM slash DD slash YYYY
  • Applicant 6: Current Accommodation

  • Please provide more detail about your current residence.
Save and Continue Later
  • Children/Dependents

  • MM slash DD slash YYYY
  • MM slash DD slash YYYY
  • MM slash DD slash YYYY
  • MM slash DD slash YYYY
  • MM slash DD slash YYYY
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  • Additional Information

  • Other: Please specify
  • Which organization referred you?
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  • 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.
  • 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.
  • 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.
  • 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.
  • 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.
  • 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.
Save and Continue Later
102 Spray Ave, Box 520, Banff, AB T1L 1A6
T: 403.762.3560 F: 403.760.3202
Registered Charity Number: 896331485RR0001
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