ArtsHub 118 Housing Cooperative

Applicant

Applicant Name*

First Last

Applicant Address*

Street Address Address Line 2 City Province Postal Code

Applicant Home Phone:

Applicant Work Phone:

Applicant Cell Phone:

Applicant Email*

Co-Applicant (if applicable)

Name of Co-Applicant (If applicable)_

First Last

Address (if different from applicant)

Street Address Address Line 2 City Province Postal Code

Co-Applicant Home Phone:

Co-Applicant Work Phone:

Co-Applicant Cell Phone:

Co-Applicant Email

Information about your household

Total number of people in your household*

Number of adults*

Number of those under 18 years of age*

Are you expecting any changes in your household size in the next year?*

Yes

Do you currently have any pets?*

Yes

Type of pet

Dog

Cat

other

Make and Model of Vehicle (if applicable)

Number of Bicycles

Employment Information

Artist, non-profit arts professional or cultural industry professional:*

Drop files here or

Max. file size: 200 MB.

The criteria to qualify as an artist, non-profit arts professional or cultural industry professional is attached to this application form. In addition to completing this application form you must provide a resume detailing your professional qualifications, education and any other relevant experience. Applicants do not have to meet all of the criteria as an artist, non-profit arts professional or cultural industry professional in order to be considered; however, the Membership Committee will be using the criteria as a guide with which to make the determination of eligibility. The decision of the Membership Committee is binding. The Membership Committee is made up of representatives of Arts Hub Housing Cooperative. Don’t forget to include your resume with your application.

Are you self employed?

Yes

Employed by:

Employer Address

Street Address Address Line 2 City Province Postal Code

Employer Phone

Is the Co-Applicant Employed?

Yes

Name of Employer

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Phone

Financial Information

ArtsHub 118 was built with the help of the Cornerstones Affordable Housing program, developed through the City of Edmonton, to increase the number of long term affordable housing units. For this reason, personal incomes are restricted to a maximum amount earned to be eligible.

Applicant's Annual Income (Line 150 from your previous year's tax form)*

Co-Applicant's Annual Income (Line 150 from your previous year's tax form)

Reference Information

Current Landlord's Name

First Last

Current Landlord's Phone Number

Number of Years at this address?

Please provide previous address is less than 3 years. Include the landlord's name and contact information.

May we contact your currently landlord?

Yes

If you answered no, please explain.

General Information

What interests you in co-operative living?*

What skills and resources do you have and how will you contribute to the Co-operative?*

Which of the following committees are you interested in becoming a member of?*

Membership

Maintenance

The Board

Social

Finance

Community Relations

Other

Please explain:

Minimum number of hours you are able to contribute to the Co-op?

Do you have any questions?

I/We hereby apply for membership in the ArtsHub Housing Cooperative.

Applicant*

First Last

Date*

Co-Applicant

First Last

Date