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1. APPLICATION

Complete the online application or download an application.

Review to determine housing eligibility and options to meet your needs.

Placed on waitlist for next available home.

Move into your new home.

1Applicant Information

2Family Contacts

Applicant Information
Application Date*
MM slash DD slash YYYY
Housing & Care Type
Site Location(s)
Site Location(s)
Site Location(s)
Site Location(s)
Site Location(s)
Name*
First Last
Date of Birth*
MM slash DD slash YYYY
Marital Status*
Are you a Canadian Citizen?*
Address*
Street Address City Province Postal Code
Telephone*
Email*
I have attached a copy of my Notice of Assessment
Accepted file types: pdf, Max. file size: 128 MB.

Family Contacts
Primary Contact
Name*
First Last
Address*
Street Address City Province Postal Code
Relationship*
Home Telephone*
Work Telephone*
Email*
Do you want to specify a secondary contact?
Secondary Contact:
Name
First Last
Address
Street Address City Province Postal Code
Relationship
Home Telephone
Work Telephone
Email
This confidential information is being collected in accordance with the Alberta Housing Act for the purposes of determining the applicant’s eligibility for a Homeland Housing program or service. For further information, please contact the Freedom of Information and Protection of Privacy Officer for Homeland Housing at (780) 939-5116.
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