APPLICATION

To live in Asgard Green, you need to follow three easy steps:
1. Complete an application form. You can print off the application form that follows and return it to the co-op office. Once the application is received, the co-op does a credit check.
2. If your credit worthiness is fine, you are then contaced by two members to schedule an interview. The purpose of the interview is to allow the co-op to find out more about you, and for you to find out more about the co-op.
3. If you are approved for membership by the Board of Directors, you are contacted when a unit you are interested in becomes available. When you accept a unit, you sign an occupancy agreement and pay a membership fee of $15 per member.

Everyone 16 years of age and older who will be living in the unit must complete a separate application form.

ALL INFORMATION WILL BE KEPT STRICTLY CONFIDENTIAL

As all applications must be signed, we ask you print off this page.

To Do So Please Click on THIS Frame . . . otherwise you will just print off the index page links.

Then hit the "print" button in your Internet software menu, fill it out and return to our office at Unit 301. You can mail it, or fax the application. Our complete address is listed on our home page.

APPLICATION INFORMATION

Your name: __________________________________

Date of Birth: (Month Day Year)_

Citizenship: __________

Social Insurance Number:

Total number of adults in the household: _

Children who will be living in the household::

Name Birth date Sex

How many cars do you have? ___________

How many pets do you have? _

What kind of pet(s) do you have? (please be specific about breed of dog)
_____________________
_
_
_
What size unit would you like? (check one only)
( ) two bedroom ( ) four bedroom
( ) three bedroom ( ) wheelchair accessible
When would you like to move? _____

Present and Past Accommodation

Present address:

Street and number: ______________________________

City: _ Postal code:

Telephone: (home) (work)

Name of present landlord: ____________

Landlord's phone #: _

How long have you lived at the present address:

Present rent (per month) __

Does your rent include utilities? Yes No

If no, how much do you pay per month? _

Previous address:

How long did you live at this address?

Have you ever lived in non-profit or co-operative housing before?
Yes No

If yes, what is the name of the non-profit or co-op?
_______

Employment Information

Occupation: __________

Employer:

Employer's address:

Employer's phone #:

Gross annual income: $_

Housing charge assistance

Housing co-ops are able to subsidize the housing charges of some of the members who live in the co-op. Do you need housing charge assistance?

Yes _ No _

(Note: the waiting list for subsidy is approximately two years long.)

Co-op Information

Members in housing co-ops are asked to contribute some of their volunteer time to the running of the co-op, an average of three hours per month. What skills would you be willing to share with the co-op?

Please list any volunteer experience you have,
( community groups, service groups, etc.)

__

Why do you want to live at Asgard Green?

Declaration

I declare that the information given in this application is true and I agree that it may be used to establish credit worthiness.

I understand that I must attend an interview with the Membership Selection Committee before my application can be approved.

I understand that if my application is approved, and before I move into the co-op, that:

· I must sign an Occupancy Agreement for a one-year term;
· I must show proof that I have established an account with Kitchener-Wilmot Hydro;
· I must pay a lifetime membership fee of $15.00 per member;
· I must pay a deposit equal to my housing charge at move-in;
· Only the names of the persons listed on this application, or the attached applications, may live in the unit.

Signature of applicant: _

Date: __

If there are any questions about Asgard Green, please phone or e-mail us.

We would love to hear from you!

Name	Birth date	Sex