Georgia Heights Tenant Application Form

Address: 858 Georgia Avenue, Nanaimo BC

Property Details

Please have your reference information, residency history, and co-applicant ready to sign before beginning.

"*" indicates required fields

Step 1 of 9 - APPLICANT INFORMATION

Date*

Name*

Prefix First Middle Last

Preferred Name*

Preferred Name

Home Phone*

Mobile Phone*

Email*

Enter Email Confirm Email

Housing Sought*

1 Bedroom + Den

2 Bedroom

Other

Status*

Canadian Citizen

Permanent Resident

Refugee Status

Do you wish to receive correspondence by email?*

Yes

Current Address*

Street Address Address Line 2 City Province Postal Code

Mailing Address

Same as previous

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Ballenas Housing Society Agreement with BC Housing:

The landlord has entered into an agreement with BC Housing designating the residential property as housing for middle income households. Income testing is required and will be completed in compliance with the standards set by the HousingHub with the standards set by BC Housing.
The following standards will apply:

No more than two (2) and no less than one (1) person per bedroom.
Spouses and couples share a bedroom.
Dependents of the opposite sex age five (5) or over do not share a bedroom

The Applicant Declares the Following:

I/We declare:

This is my application; and
I/We consent to the use of this information for the purposes of matching the housing (potentially available) within the Ballenas portfolio, with the needs of the applicant.
All the information provided in this application is correct and complete to the best of my knowledge and belief.
I/we further state that in terms of physical condition I/we can care for myself/ourselves.

I/We authorize:

Pursuant to the Freedom of Information and Protection of Privacy Act (the FOI Act), Ballenas Housing Society to make any inquiries that are necessary to verify the information given in this application; and
Pursuant to the FOI Act, any person, corporation or social agency to release Ballenas Housing Society any information pertinent to the assessment of my/our application; and
Ballenas Housing Society to receive and exchange with credit bureaus and my/our previous landlords, credit and other information about me/us, to be used in the decision-making process to provide me/us with rental accommodation.

I/We understand:

That this application does not constitute any agreement on the part of Ballenas Housing Society to provide me/us with rental accommodation;
That, preference will be given to applicants who are current residents of Nanaimo;
That, Ballenas Housing Society has guaranteed that rental rates will remain frozen for a period of (2) two years following the initial offering of units.
That, Georgia Heights is a non-smoking building and a non-smoking agreement will need to be signed prior to the commencement of the tenancy; and
That it is my/our responsibility to advise Ballenas Housing Society of any changes to the information given in this application and to provide any supporting materials required for my/our application.

Application must be signed by everyone age 19 or older.

How many applicants over the age of 19?*

Applicant Signature:*

Co-Applicant's Name

First Last

Co-Applicant's Signature:

Third Applicant's Name

First Last

Third Applicant's Signature:

Fourth Applicant's Name

First Last

Fourth Applicant's Signature:

Date Signed*

SUBMISSION

AUTHORIZATION TO COMPLETE CREDIT CHECK

I/We hereby warrant that all representations set forth above are true. To verify the above statements, I/We direct those persons named as references in this application to ask questions about me/us.
I/We waive all rights of actions for consequences as a result of such information.
I/We agree and authorize and give permission to Ballenas Housing Society to perform a credit check on me/us.

Applicant's Initials*

Co-Applicant's Initials

Type n/a if no co-applicant is applying.

Name

This field is for validation purposes and should be left unchanged.