Okanagan Village Housing Society

Creekside Village is for Seniors 55+ or 50+ on Permanent Disability.

Single Occupancy. No Pets. No Smoking.

Applications are kept on file for one year. Please ensure you contact us on a regular basis if you are actively looking for housing. If you decline an available suite, your application will be removed from the list, and you will need to reapply and re-enter the wait list.

Please check your preference:

Studio

One bedroom

Either

Suite location preference: (No elevator)

Ground floor (preference given to mobility-restricted applicants)

2nd floor

Any level

1. Applicant Information

Name(Required)

First Last

Initial

SIN: (Optional)

DL or BCID(Required)

Date of Birth(Required)

Age

2. Contact Information

Unit #

Address

City

Postal Code

Cell Phone

Home Phone

3. Residency Information

Please provide information on where you have lived for the last five years.

Address (Street, City)

From Date

To Date

Landlord Name

Phone

Address (Street, City)

From Date

To Date

Landlord Name

Phone

Have you received a legal notice to end tenancy?

Yes

What date do you have to move by?

If you are NOT under notice to move, please tell us why you want to move.

If there is money owing due to a past subsidized housing tenancy, complete the following.

Is there a written repayment schedule in place?

Yes

How much is owing?(Required)

Please attach a copy of the repayment agreement.(Required)

Drop files here or

Max. file size: 256 MB.

Reason for debt?

NOTE: Failure to declare past subsidized housing or debts owed to subsidized housing providers may result in cancellation of your application. Past tenants with a debt may be required to either repay the debt or enter into a repayment agreement.

4. Income and Asset Information

Are you receiving income assistance from the Ministry of Social Development and Social Innovation?

Yes

Monthly Amount ($)(Required)

Category(Required)

Person with Disabilities (PWD)

Employable

Person with Persistent Multiple Barriers (PPMB)

Other Government Assistance

Please describe the assistance you are receiving.

For all other income, list your GROSS monthly income (before deductions), i.e. pension(s), RIFs, employment, etc..

Income Source(s) (Employment, EI, CPP, OAS/GIS, Other)

Gross Monthly Income ($)

Income Source(s) (Employment, EI, CPP, OAS/GIS, Other)

Gross Monthly Income ($)

Income Source(s) (Employment, EI, CPP, OAS/GIS, Other)

Gross Monthly Income ($)

Total GROSS Monthly Income ($)

If you have no income, please tell us why.

List the current value of all assets held by you.

Cash/Bank Balance ($)

RRSPs/Annuities ($)

Stocks/Bonds/Term Deposits ($)

Residential Real Estate ($)

Other Real Estate Holdings ($)

Other Assets ($)

Proof of income and assets must be provided when a tenancy is offered.

5. Health and Mobility Information

To assist with matching you to housing that best suits your needs, please complete the following.

Do you have restrictions with stairs?(Required)

No restrictions

Limited number of stairs

Cannot manage stairs

How many stairs?

Do you use a

Wheelchair

Scooter

Please note that our suites are not wheelchair accessible, nor are they able to be modified. Scooter parking is extremely limited.

If a wheelchair is used, is it used inside your home?

Yes

Is it used in the kitchen?

Yes

If Yes, is it used in the bathroom?

Yes

Can you and your household members access and function in all rooms in your current housing?

Yes

Other than mobility concerns, do you have a health condition or disability that we should be aware of?

Yes

Explain the health condition or disability

If No, please explain.

Do you receive home support?

Yes

If Yes, which agencies are providing home support?

Support Type

Hours per Week

Agency

Worker

Support Type

Hours per Week

Agency

Worker

6. Additional Information

Do you smoke? There is absolutely NO SMOKING in or on the Property(Required)

Yes

Do you understand that there are NO PETS allowed in or on the Property?(Required)

Yes

Do you own a vehicle? Parking is extremely limited, and has a long wait list.(Required)

Yes

Application must be signed by everyone age 19 or older.

THE ABOVE STATED PROPERTIES ARE FULLY CERTIFIED IN THE VERNON CRIME FREE MULTI-HOUSING PROGRAM. AS SUCH, THE STANDARDS OF THE PROGRAM MUST BE ADHERED TO.

Consent(Required)

I acknowledgement that all information provided is correct, and this will be considered as an electronic signature.

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Comments

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

Village at Creekside

1. Applicant Information

2. Contact Information

3. Residency Information

Please provide information on where you have lived for the last five years.

If there is money owing due to a past subsidized housing tenancy, complete the following.

NOTE: Failure to declare past subsidized housing or debts owed to subsidized housing providers may result in cancellation of your application. Past tenants with a debt may be required to either repay the debt or enter into a repayment agreement.

4. Income and Asset Information

For all other income, list your GROSS monthly income (before deductions), i.e. pension(s), RIFs, employment, etc..

List the current value of all assets held by you.

Proof of income and assets must be provided when a tenancy is offered.

5. Health and Mobility Information

To assist with matching you to housing that best suits your needs, please complete the following.

If Yes, which agencies are providing home support?

6. Additional Information

Application must be signed by everyone age 19 or older.

THE ABOVE STATED PROPERTIES ARE FULLY CERTIFIED IN THE VERNON CRIME FREE MULTI-HOUSING PROGRAM. AS SUCH, THE STANDARDS OF THE PROGRAM MUST BE ADHERED TO.