7 GENERATIONS HOUSING REGISTRATION FORM
REGISTRANT INFORMATION
Full Name
*
First Name
Middle Name
Last Name
Date of Birth
*
-
Month
-
Day
Year
Date
Current Address
*
Street Address
Street Address Line 2
City
Province
Postal Code
Phone Number
*
Format: (000) 000-0000.
E-mail
*
example@example.com
How do you identify?
First Nations
Metis
Inuit
Other
Where do you currently reside?
On-Reserve
Off-Reserve
On-Community
Off-Community
On-Settlement
Off-Settlement
Urban Living
How many years have you lived here?
Do you identify as someone with a disability?
No
Yes
Please provide details below to help us better understand
What is your status
Student
Single
Single Parent
Family
Elder
HOUSING INFORMATION
Are you looking to:
Rent
Rent-To-Own
Buy
What is your Housing preference? (Please note that not all options may be available.)
Detached Home
Townhomes/Row House
Apartment
Duplex
Condominium
Four Plex
Six Plex
Tiny Home
How many bedrooms will you need?
Please Select
1
2
3
4
5
6+
How many dependents will be residing in the home?
Please Select
0
1
2
3
4
5
6
7
8
9
10
Is there a specific city/town/county/location you prefer?
Do you want :(Please note that not all options may be available.)
Garage
Basement
Storage Area
Yard
Accessibility features
Submit
Should be Empty: