Contacts for Cohousing Waiting Lists

VanCoho Rentals - two bedroom Short term (5 months) (1)

VanCoho Rentals

Rental Application for Vancouver Cohousing
If a required section is not applicable to you, please add NA to the form box or you will not be able to submit. Required fields have a red asterisk * +++++++++++++ This is a long form. You may need to take a break to find data such as names and phone numbers etc. We have provided a Save and Continue function so you don't lose your work or the form does not time out. Go to the bottom of the form and hit Save and Continue . You will be given a link to continue and the link will be emailed to you. You can save your data at the end using this Save and Continue function.
Name:*
Date of Birth:*
Phone:*
Email:*
Address:*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Current Tenancy
Dates related to current Tenancy:*
MM slash DD slash YYYY

Month and year current tenancy began.
Name of Landlord:*
First Last
Landlord's Phone:*
Reason for Leaving:
Additional Occupants
Please describe who else would be living in your unit at Vancouver Cohousing
First person:
Age of first person:
Second person:
Age of second person:
Third person:
Age of third person:
Do you smoke?*
- No
- Yes
If yes describe:
Do you have a licence to grow medical marijuana?*
- No
- Yes
If yes describe:
Income
Occupation:*
Wage:*
Company:*
How long have you worked at this company?*
Other income description (eg. Self Employed, Disability, Income Assistance, Savings):
Vehicle Information:
We have underground parking.
Make:
Model:
Year:
Personal References
Name of first reference:*
Phone of first reference:*
Relationship of first reference (previous landlord, employer):*
Name of second reference:*
Phone of second reference:*
Relationship of second reference (previous landlord, employer):*
Do you have a Criminal Record?
- No
- Yes
If yes explain.
Residential History: Please provide 5 years of rental history
Previous Address:
City:
Dates of Tenancy:
Name of landLord:
Landlord phone:
Reason for leaving:
Previous Address:
City:
Dates of Tenancy:
Name of LandLord:
Landlord phone:
Reason for leaving:
Previous Address:
City:
Dates of Tenancy:
Name of LandLord:
Landlord phone:
Reason for leaving:
To help us get to know you, please answer the following questions.
Why do you want to live in cohousing?*
Do you do any community volunteering? Please provide details.*
Is there anything else about you that you think we should know? Any special interests you'd like to share. Any talents etc?
Attach a file/s with any other information you which to share.
Max. file size: 256 MB.
I hereby state that the information contained herein is true and I authorize my references as listed above to release information regarding my employment and/or past/current tenancies. I also authorize a credit check, and possibly a criminal record check, to be conducted.*
- Agree
- Disagree
Full Name:*
Dated:*
MM slash DD slash YYYY

Save and Continue Later

VanCoho Rentals - two bedroom Short term (5 months) (1)

Rental Application for Vancouver Cohousing

Current Tenancy

Additional Occupants

Please describe who else would be living in your unit at Vancouver Cohousing

Income

Vehicle Information:

We have underground parking.

Personal References

Residential History: Please provide 5 years of rental history

To help us get to know you, please answer the following questions.