Transitional Housing Program Application
Applicant Information
Legal First Name
*
Preferred Name
Legal Last Name
*
Date of Birth
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Preferred Pronouns
Primary Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Alternative Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Email Address
*
example@example.com
Preferred Language
Do you require an interpreter?
Yes
No
Identification?
*
Permanent Resident Card
Work Permit
Refugee Claimant ID
Passport
Provincial ID
Co-Applicant Information
(if applicable)
Are you applying with a co-applicant
Yes
No
Legal First Name
*
Preferred Name
Legal Last Name
*
Date of Birth
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Preferred Pronouns
Primary Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Alternative Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Email Address
*
example@example.com
Preferred Language
Do you require an interpreter?
Yes
No
Identification?
*
Permanent Resident Card
Work Permit
Refugee Claimant ID
Passport
Provincial ID
Emergency Contact
Legal First Name
*
Legal Last Name
*
Relationship To Applicant
*
Primary Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Email Address
*
example@example.com
Professional Background & Employment
Previous Career Field
*
example@example.com
Work Experience & Certifications
*
Desired Employment in BC
*
Current Employment Status
*
Employed
Seeking Work
Training/Education
Education & Skills Development
Highest Level of Education Completed
*
example@example.com
Are you interested in further education or professional training?
*
Yes
No
Would you like support in finding courses, certifications, or job networking events?
*
Yes
No
Housing Status & Stability Needs
Reason for Seeking Transitional Housing
*
Current Living Situation
*
Rental
With Friends / Relatives
Shelter
Unhoused
Do you require accessibility accommodations?
*
Yes
No
Support Services
Daughters Of Hope Resources Society offers integration support, employment resources, and community building opportunities.
Please select the resources you would be interested in:
*
Job Search Assistance
Professional Networking & Mentorship
Childcare Resources
Legal Support & Immigration Guidance
Housing Placement Assistance
Community Engagement Programs
Applicant Declaration
Consent
*
I consent to and authorize the following
Declaration
I hereby declare that the application and all the information in it are true and complete to the best of my knowledge. I understand that filling out this form does not mean that I am approved for transitional housing. I understand that Daughters Of Hope Resources Society upholds the right of clients and staff to be treated with respect, and that staff are not obligated to deal with me if my language or behavior is rude, aggressive, or abusive. I agree that if I am acting or speaking to them in unacceptable ways that staff can put my file on hold until I am able to work with them respectfully. I understand that the applications submitted are processed at the Daughters Of Hope Resources Society office in the order they are received with COMPLETE information. I permit Daughters Of Hope Resources Society to verify any of the information provided to assess my eligibility for transitional housing. I agree that if any of the information provided in this application is incorrect and/or not true, my application may NOT be processed any further. CONFIDENTIALITY Daughters Of Hope Resources Society is compliant with the Personal Information Protection and Electronic Documents Act (PIPEDA). The information you provide will be kept confidential and will only be used for processing your application. COPIES OF THE FOLLOWING DOCUMENTS SHOULD BE SUBMITTED WITH THIS FORM ➢ Two pieces of ID, one being government issued photo ID ➢ Proof of income (e.g., pay stub, copy of Income Assistance payment, etc.) ➢ Bank account statements for the most recent 2 months ➢ Copy of lease agreement ➢ Notice of eviction (if applicable) Use the File Upload section to atttach any supporting documents
File Upload
*
Browse Files
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Signature
*
Date
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Submit Application
Submit Application
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