Rental Application
SUBMIT this form. If you need a PRINTABLE VERSION of the application, please email us at info@burkmanagement.com or call us at 780-421-9995.
Please Note: One Application per Adult (18 and over), is required
The information provided on this form is collected under the authority of the Personal Information Protection Act, part 2, section 3(11) and will be used to determine and verify eligibility for rental accommodation and acceptance as a Tenant. If you have any questions, email us at info@burkmanagement.com
Full Name
*
First Name
Last Name
Property Applying For
9908 107Ave-2 bed, Morinville
9908 107Ave- 1 bed, Morinville
10508 119 St -2 BED
14404 88A St Dickinsfld
11420 34 St Beverly
32 Holmes St, RED DEER TOWNHOUSES
Property Not Listed here
E-mail
Cell/Mobile Number
*
area code + number
HOME Number
area code + HOME number
Emergency Contact
*
First Name
Last Name
Emergency Contact Number
*
area code + number
Birth Date
*
Please select a month
January
February
March
April
May
June
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Month
Please select a day
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Day
Please select a year
2025
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Year
Social Insurance Number
*
Other Adults to Occupy the Premises
Other Adult # 1
First Name
Last Name
Age of Other Adult #1
Other Adult # 2
First Name
Last Name
Age of Other Adult #2
Other Adult # 3
First Name
Last Name
Age of Other Adult #3
All Minors (children age 17 and under) to Occupy the Premises
Minor/Child #1
First Name
Last Name
AGE of Child #1
Minor/Child #2
First Name
Last Name
AGE of Child #2
Minor/Child #3
First Name
Last Name
AGE of Child #3
Minor/Child #4
First Name
Last Name
AGE of Child #4
Employment History
Current or Most Recent Employer
Address of Employer (including City)
Length of current Employment in MONTHS only (ex: 36 Months if 3 years)
ex: 36 months (3 years)
Gross Monthly Salary
Any Other Income/Source (1)
Income Amount $ (1)
Any Other Income/Source (2)
Income Amount $ (2)
Any Other Income/Source (3)
Income Amount $ (3)
Supervisor Name
First Name
Last Name
Supervisor Phone #
-
Area Code
Phone Number
Previous Employer
Length of previous Employment - in MONTHS only (ex. 36 MONTHS if 3 years)
ex. 36 MONTHS (3 years)
Rental History
Present Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
How long did you live here? (number of MONTHS only)
ex. 36 months (3 years)
Landlord or Company Name
Landlord Phone #
-
Area Code
Phone Number
Landlord Email
(if available)
Previous Address...
Previous Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
How long did you live here? (in MONTHS only)
ex. 36 MONTHS (3 years)
Landlord or Company Name
Landlord Phone #
-
Area Code
Phone Number
Landlord Email
(if available)
Pets and Parking
Pets (please describe)
How many Vehicles will be parked on premises
Make/Model/Year/License #
Final Submit
Terms
I hereby certify that all statements made in this application are true and I hereby authorize Burk Management and Realty Inc. to conduct a personal investigation/credit check and to contact any person identified in this Rental Application. The failure to obtain an accurate and satisfactory credit report may, in the sole discretion of Burk Management and Realty Inc., adversely affect my application. I hereby acknowledge that there are no pets allowed on these premises without written authorization from Burk Management and Realty Inc. In order for Burk Management and Realty Inc., to comply with federal and/or provincial privacy legislation, I understand that all personal information collected from me may be collected, used and disclosed by Burk Management & Realty Inc. for the purpose of my application assessment and debt collection, to comply with applicable law. I hereby acknowledge that by checking the box below, I fully understand and agree to the terms ad conditions stated by Burk Management & Realty Inc. and give our permission to perform and adhere to the stated disclosure.
*
I Agree
Signature
Submit Application
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