Rental Application
Applicant  
Name of Applicant:
Email Address
Applicant’s Date of Birth: dd/mm/yyyy
Social Insurance Number:
Heritage
Address:
City
Province:
Telephone #
Which Town/City are you applying for?
Applicant’s Marital Status:
   
Co-Applicant  
Name of Co-Applicant:
Co-Applicant's Date of Birth: dd/mm/yyyy
Social Insurance Number:
Heritage
Address:
City
Province:
Telephone #
 

LIST ALL OTHER PEOPLE WHO WILL BE LIVING WITH YOU
  Name Gender Relationship Birthdate: dd/mm/yyy Occupation
#1
F
#2
F
#3
F
#4
F
#5
F
#6
F

 
INCLUDE INCOME FOR ALL DEPENDENT’S NOW LIVING WITH YOU IN SPACES PROVIDED
  SOURCE OF APPLICANT'S INCOME SOURCE OF Co-APPLICANT'S INCOME
Employed gross monthly amount
Employer’s phone
Social Services total amount per month:
Workers name:
Workers phone:
Child Tax Benefit Total/month:
Child Support:
A.I.S.H.:
Pension(s):
E.I.:
Student Grant(s)

Other:

PRESENT ADDRESS:  
If you currently reside in housing located either on a First Nation Reserve or a Métis Settlement, you will need to provide written
documentation from the Reserve or Settlement office stating whether or not you or your immediate family own a home on their lands.
Do you own your own home?
No
I now live in a
Do you now live in subsidized housing?
No
Length of time at present address: years months
Monthly Rent
Are Utilities Included
No
Monthly Cost of: Power Gas Water
Number of Bedrooms:
How much notice must you give before moving

OTHER INFORMATION:  
Have you ever applied to Métis Urban Housing Corporation before?
No
Which area of the City Would You Prefer

Is baby expected: Yes No If yes, when:
How long have you lived in Alberta:
NEXT OF KIN / EMERGENCY CONTACT:
Name:
Address:
Phone:

ALL INFORMATION CONTAINED IN THIS APPLICATION WILL BE HELD IN STRICT CONFIDENCE

I understand and further agree to:

  • Submit income verification to ensure qualifications are met in accordance with Policy and Guidelines
  • Authorize Métis Urban Housing Corporation to conduct inquiries re the approval of my MUHC Application
  • Submit a Criminal Record Check
  • Sign a Lease Agreement (Month to Month)
  • Pet Policy – Strictly Enforced (Discuss exceptions with MUHC Staff)