Application Kingston Co-op

* Required Fields

Applicant Information

Each adult 18 years and older who will live in your unit MUST be listed on the application.

What is your status in Canada?

Canadian CitizenLanded ImmigrantValid Refugee ClaimantVisitor on a VisaI have permission to live in Canada

What is your status in Canada?

Canadian CitizenLanded ImmigrantValid Refugee ClaimantVisitor on a VisaI have permission to live in Canada

Please list all other persons in the household:

*Do you anticipate any change in the number of members in your household?

YesNo

*Family Vehicle Information:All vehicles must be in working order, licensed and registered with the office.

Vehicle 1

Vehicle 2

*What unit size are you applying for?

1 Bedroom Incoming Income Limit $36,0002 Bedroom Incoming Income Limit $42,000

*Do you require an accessible unit?

YesNo

Employment Information Applicant

How long have you been employed there?

Is your employment?

SeasonalFull TimePart Time

Attach Notice of Assessment for Applicant

Employment Information Co-Applicant

How long have you been employed there?

Is your employment?

SeasonalFull TimePart Time

Attach Notice of Assessment for Co-Applicant

Past and Present Residences

*I have lived here since:

Please provide information on your previous address if you have lived at your current address for less than three years

I have lived here since:

Have you ever lived in a co-op?

YesNo

If yes, what was the co-op's name?

Did you move out of any rental place where you had money owing the landlord whom you did not repay?

YesNo

If yes, explain

*Co-operative Living Question 1

*Co-operative Living Question 2

*Co-operative Living Question 3

According to our By-Laws, you as a member are expected to attend general membership meetings each year and participate in the governance of the co-operative. You are also required to co-operate and live peaceably with other members; be financially responsible, and contribute to the health and development of the Co-op. Do you understand this as a requirement of membership and agree to fulfill this obligation?

YesNo

I, the undersigned, hereby apply for membership and occupancy rights at Kingston Co-operative Homes.
I understand that membership and occupancy rights begin on the first day of occupancy in the Co-op as indicated by a signed Occupancy Agreement with the Co-operative.
I declare that the information given on this application is full and correct to the best of my ability, and that it will be used to assist the Co-operative and its Agents in assessing my application for housing.

Entering my name below represents the Applicants signature

Entering my name below represents the Co-Applicants signature