The Confluence Stage 1 - Cornerstone Affordable Homes

Stage 1 - Rental Housing Application Form

Applicant Information

Applicant 1

First Name

Last Name

Phone Number

Street Address

City

Province

Postal Code

Is there a second Applicant?

Yes

Applicant 2

First Name

Last Name

Phone Number

Cell Phone

Address is same as Applicant 1

Yes

Street Address

City

Province

Postal Code

Accomodation Required & Preferences

Preferred Location (You can select multiple locations)

Kamloops

Do you have a building preference in Kamloops?

Yes

Preferred Kamloops Residence (please select any that apply)

The Confluence (North Shore)

Do you have any special requirements?

Yes

Please summarize your special requirements

Do you have Pets?

Yes

Please note, there are limitations to the total number of and type of pets allowed in the building. Please specify how many pets you have, species, and size.

Do you require parking?

Yes

Please note, all vehicles parked on site must be licensed and fully operable. List how many licensed and operable vehicles you have, the make, and the model

PLEASE NOTE: All buildings are non-smoking.

Household Information

Please list yourself on the first line and then all those who will live with you.

Applicant 1

As the primary applicant please fill out the below information.

Full Name

Age

Pronouns (she/he/they)

Date of Birth

Any more applicants?

Add Second Applicant

No More Applicants

Please confirm that you are the only applicant and that there will only be 1 person living in the unit

Applicant 2

As the second applicant please fill out the below information.

Full Name

Age

Pronouns (she/he/they)

Date of Birth

Any more applicants?

Add Third Applicant

No More Applicants

Please confirm that there will only be 2 people living in the unit

Applicant 3

As the third applicant please fill out the below information.

Full Name

Age

Pronouns (she/he/they)

Date of Birth

Any more applicants?

Add Fourth Applicant

No More Applicants

Please confirm that there will only be 3 people living in the unit

Applicant 4

As the fourth applicant please fill out the below information.

Full Name

Age

Pronouns (she/he/they)

Date of Birth

Any more applicants?

Add Fifth Applicant

No More Applicants

Please confirm that there will only be 4 people living in the unit

Applicant 5

As the fifth applicant please fill out the below information.

Full Name

Age

Pronouns (she/he/they)

Date of Birth

Please confirm that there will only be 5 people living in the unit

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 the Agency including obtaining credit and/or personal reports on me/us from one or more agencies or individuals.

I/We hereby authorize agencies or individuals to provide whatever information they have to the Agency relative to assessment of the application.

I/We understand this application does not constitute an agreement on the part of the Agency to provide me/us with rental housing.

Signature of Applicant 1

Sign Here

Date Signed

Signature of Applicant 2 (If Applicable)

Sign Here

Date Signed

This form collects personal information in accordance with section 26(c) of the Freedom of Information and Protection of Privacy Act for the purposes of determining your eligibility, assessing your housing needs and to determine the housing developments that suit your needs.

Apply Now

The Confluence - Stage 1

Applicant Information

Applicant 1

Applicant 2

Accomodation Required & Preferences

PLEASE NOTE: All buildings are non-smoking.

Household Information

Applicant 1

Applicant 2

Applicant 3

Applicant 4

Applicant 5