St. Mary's First Nation Housing Application

St. Mary's First Nation Housing Application

For registered members ages 18+
Technical Support

If you require assistance completing this application please do not hesitate to reach out to Sakhikon at sakhikon@gmail.com.

I First & Last Name*, certify this application to be true and accurate to the best of my knowledge and that I have not misrepresented any information.
By checking the box below, I certify that I am a registered member of St. Mary's First Nation and I am age 18 or above.*

Yes, I am a registered member over the age of 18.
Signature*

Clear
Laptops OR Computers use the mouse to sign - Mobile sign on-screen.

Background Information
Have you ever been allocated housing on St. Mary's First Nation?*

YesNo
When was it allocated to you?*
Year of allocation
Do you currently hold the Certificate of Possession (CP) to the allocation?*

YesNo
What happened to the allocation/ why are you seeking a new allocation? *
i.e. did you sell it, let a family member move in, renting it?

Co-Applicant Information

Please enter the information of your wife/husband/partner/significant other.
Name*

First NameMiddle NameLast Name
Co-applicant's St. Mary's First Nation Registration Number*
Please enter your co-applicant's full registration number, as you did yours above.
Co-Applicant's Band Number*
Please enter your co-applicant's full registration number.
Co-Applicant's Home Community*
What Indigenous community is your co-applicant a member of?
Co-Applicant Employment:*
Are you the primary care giver to your dependent(s)?*

YesNoJoint Custody (50/50) Court OrderedOther
Select the payments you receive for your dependent(s).*

Government Payments (i.e. child tax benefit, GST).SMFN RoyaltiesI do not receive any of these

Do you have any pets?*

YesNo
Please list your pets what type of animal they are and their breed if applicable*
Any additional comments you would like to add to your application:
Should be Empty:

	Name	Date of Birth	Gender	Band number *if applicable	Relationship (i.e. child, grandchild, parent etc.)
Dependent 1
Dependent 2
Dependent 3
Dependent 4
Dependent 5
Dependent 6

Technical Support