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where senior artists are considered. connected. community.

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APPLICATION FOR FULL-TIME (Rental) RESIDENCY

1. Applicant Information

Applicant

Co-Applicant: (#1, if applicable)

Co-Applicant: (#2, if applicable)

Co-Applicant: (#3, if applicable)

2. Living Accommodations

a) Type of unit:

b) Pets

c) Parking Requirements (applies to the applicant and/or co-applicants living in the same unit)

3. Arts Worker Career

a) Please indicate your primary career in the arts, and the number of years worked.

b) Please list your affiliations with professional arts associations, organizations, or unions (various disciplines).

c) Please attach a resume and/or work history to substantiate your and/or your co-applicant’s career as an arts worker.

4. Information for Daily Living Needs

5. Self-identification (optional)

6. How Did You Hear About PAL Place?

7. Declaration (Please read and sign this statement)

I/We hereby apply for tenancy to PAL Ottawa.

I/We understand that this application does not constitute an agreement on the part of PAL Ottawa to provide accommodation.

I/We understand that it is the responsibility of the applicant(s) to advise PAL Ottawa of any changes to the information given in this application and to provide any supporting materials required.

It is the applicant(s) understanding that:
Pursuant to the Freedom of Information and Protection of Privacy Act, PAL Ottawa is authorized to make any inquiries necessary to verify information given in this application. Any person, corporation or social agency may release to PAL Ottawa any information pertinent to the assessment of this application.

I/We certify that, to the best of my/our knowledge, the information on this form is true, correct, and complete in every respect and can be verified by PAL Ottawa.