Housing Application

The confidentiality of the information provided in this form will be respected and maintained.  If you would like clarification concerning this application  or any other information concerning Superior View Housing Co-op please do not hesitate to call the Co-op office (807)767- 8051.

Household Composition
Applicant 1
Applicant 2
 First Name:     
First Name:      
 Last Name:      Last Name:      
 Address:           Address:           
 City:                  City:                  
 Province:           Province:           
 Postal Code:      Postal Code:     
 Telephone (H):  Telephone (H): 
 Telephone (W): Telephone (W):
 E-mail:               E-mail:              
Number of Dependants:   Number of Dependants:   
Housing Information
Number of bedrooms required:
  One bedroom
  Two bedrooms
Do you require a main floor apartment because of health reasons (Wheel chair)
  Yes
  No
Will you require RGI (Rent Geared Income)
  Yes
  No

Please add any additional comments or questions you may have about this application
In judging the acceptability of applicants for membership, Superior View Co-op will not
discriminate by reason of race, ancestry, place of origin, marital status,
family status, handicap or the receipt of public assistance.



Superior View Housing 2003