Jewish Housing Registry Application Form

  • Jewish Housing Registry Application Form

    This online form is for new applicants only. If you have previously applied to the Jewish Housing Registry and need to update your information, please do not submit a new application. Instead, contact your JFS case manager directly or call us at 604-257-5151 for assistance.

  • Welcome!

    The Jewish Housing Registry allows members of the community to apply for subsidized housing with various Jewish housing providers in Greater Vancouver.  Please read the following carefully before starting the application.

    Application Time & Requirements
    This form will take about 20-30 minutes to complete and must be submitted in one sitting. Please ensure all information is accurate and complete before submission.

    Eligibility Criteria

    To be eligible, every member of the household must:

    • Resides in BC
    • Be a Canadian Citizen, Permanent Resident, Refugee Claimants, Privately Sponsored Refugee or CUAET Visa holder

    Eligiblity does not guarantee housing. Please note we have a long waitlist. 

    Information Required

    Before starting your application, please make sure you have the following information ready:

    • Financial Details: Monthly income and asset details for all household members aged 19 and older.
    • Household Details: Your contact info, Full names, birthdates, and any relevant health concerns for all members.
    • Pets: Breed and license number
    • Residential History: Names and contact information for all landlords from the past 5 years.
    • References: Contact information for two references (one must be your current landlord).

    Screening Processing

    Housing Providers may complete additional checks to assess a household’s ability to uphold the obligations of a tenancy agreement.

    These may include:

    • Personal interviews
    • Information from public sources such as Court Services Online and police websites
    • Consent for a credit or criminal record check
    • Applicants may be required to sign a tenancy agreement and addendum covering topics on pets, parking, laundry, smoking, crime-free housing, etc.

    Privacy

    This form is designed to collect specific information from applications seeking accommodation with Registry member housing providers in accordance with the Personal Information Protection Act (PIPA). Housing providers use this information to determine your eligibility for housing and the type of accommodation that will best suit your needs. The information collected will only be used in accordance with PIPA. 

  • Applicant Information

  • Format: (000) 000-0000.
  • Format: (000) 000-0000.
  • Date of birth*
     - -
  • What is your marital status?
  • Do you identify as being the following:
  • Why do you want to move? (Check all that applies.)*

  • Supplemental Information

  • Please check all that apply to you:

  • Household Information

  • Current Accommodation

  • What rental assistance are you receiving?

  • Present Accommodation Details

  • Residency History

    Please provide two previous residences.
  • Have you ever lived in subsidized housing?

  • Housing Needs

  • Building Types

    Housing Providers Family Units Adults Only  (18-55) Units Senior Living Units Mental Health Units Adaptable Living Units

    Accessible

    (Wheelchair/scooter) Units
    Tikva Housing: Dogwood Garden Y Y Y       
    Tikva Housing: Diamond Residences (Storeys)  Y Y Y      
    Tikva Housing: Ben & Esther Dayson Residences   Y  Y        
    Tikva Housing: Dany Guincher House  Y  Y  Y      
    Tikva Housing:  Arbutus Centre Y  Y  Y   Y Y  Y 
    Tikva Housing: Susana Cogan Place  Y  Y  Y      
    Tikva Housing: Al and Lola Roadburg Residences Y  Y  Y       
    Tikva Housing: Ronald S. Roadburg Residences  Y  Y  Y      
    Yaffa Housing Society       Y    
    B'nai B'rith Manor      Y   Y Y
    Maple Crest Apartments      Y      
  • Please select buildings that you are applying:
  • Would you be willing to live in a home where parking isn't available?
  • Would you be willing to live on any floor of a high rise building?
  • If so, would you accept a ground floor unit?
  • Also, what floor would you live up to in a high rise?
  • Would you live in a building without elevator?
  • What is your preferred number of bedroom?

  • Supplemental Information for Applying to Mental Health Housing Provider

    Please respond the following questions, if you are applying to Yaffa Housing and Tikva Housing-Arbutus Centre.

  • Health Information

  • Do you or any members of your household have restrictions with stairs?
  • Do you or any members of your household use a wheelchair?
  • Do you or any member of your household use a scooter?
  • Do you need assistive equipment in bathroom (handrails, etc)?
  • Other than mobility concerns, do you or any members of your household have a health condition or disability that affects your housing needs?

  • Pets

    If you have no pets, leave blank.
  • Service/Therapy/Emotional Animal 1
  • Service/Therapy/Emotional Animal 2
  • Are you willing to give up your pet(s)?

  • References

    Please provide two references.
  • Format: (000) 000-0000.
  • Format: (000) 000-0000.
  • Applying for Tikva RELIEF
  • Housed Building
  • Moved In Date
     - -
  • Unit Size
  • Should be Empty: