CMHA Rental Application Please fill out the form below to apply for housing at the Fisher Apartments and House of Hope. If you prefer, you can download the application and submit it to firstname.lastname@example.org Rental Application Step 1 of 2 50% Name(Required) First Last Contact phone number(Required)D.O.B.(Required) Month Day Year Relationship status(Required)MarriedSingleCommon-lawDo you have pets?(Required) Yes No How many and what type?(Required) Are you employed?(Required)YesNoName of employer(Required) Phone number of employer(Required)Source of income(Required) Please enter N/A if at the present time you do not have a source of income.Monthly Income(Required)Please enter a numerical value.EIA Worker(Required) Please enter N/A if you haven't been assigned and EIACurrent address Street Address City AlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNorthwest TerritoriesNova ScotiaNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukon Province Postal Code Current housing provider's name Current housing provider's phone numberLength of current residency Reason for wanting to move to Fisher apartments of House of Hope(Required) Previous address Street Address City AlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNorthwest TerritoriesNova ScotiaNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukon Province Postal Code Previous housing provider's name Previous housing provider's numberLength of tenancy Reason for movingPlease provide 2 references who can vouch for your characterReference 1: Name(Required) Relationship(Required) Phone number(Required)Reference 2: Name(Required) Relationship(Required) Phone(Required)Select all that apply. Priority will be given to the following:(Required)Homeless or couch surfingCurrently living in an unstable family situationPoor quality housingPresently residing in hospital or shelterRequire different housing type due to medical issuesIf you checked any items above, please describe:(Required)Acknowledgment(Required) I acknowledge the conditions of this application.I understand that this application does not guarantee me an apartment in Fisher Apartments or House of Hope. However, I will be considered for tenancy and placed on a waiting list. I understand the CMHA is not able to provide me with a specific time that an apartment may open but will contact me if my application is approved/I am next on the waiting list.