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Affordable Housing Pre Qualification
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Affordable Housing Pre-Qualification
"
*
" indicates required fields
Name
*
Phone
*
Email
*
Number of all members in your household over 19
*
Please enter a number greater than or equal to
0
.
Number of all members in your household under 19
Please enter a number greater than or equal to
0
.
Source of Income
*
OAS/GIS and CPP or Private Pension
Employed or Self Employed
Income Assistance
What is your total gross household income per month?
*
Gross total income is the total income of all members of your household including adult children before deductions. Child tax benefit is not considered income.
Are you applying for subsidized housing?
*
Yes
No
Please provide your BC Housing file number
*
Do you identify as First Nations?
Preference is being given to First Nation applicants, in particular to members of Songhees and Esquimalt Nations on whose unceded lands we are situated.
Yes
No
Tell us a bit about yourself and your housing needs
*
Residency
*
Canadian Citizen
Permanent Resident
Other