{"id":22,"date":"2010-12-14T14:36:54","date_gmt":"2010-12-14T22:36:54","guid":{"rendered":"http:\/\/northvanweb.com\/msl\/?page_id=22"},"modified":"2013-12-02T17:37:45","modified_gmt":"2013-12-03T01:37:45","slug":"family-housing-application","status":"publish","type":"page","link":"https:\/\/www.mountseymourlions.org\/housing\/society\/family-housing-application\/","title":{"rendered":"Family Housing Application"},"content":{"rendered":"<div id=\"app-top\">\n<div class=\"app-left\">\n<h2>Lions Garey Ham Court<\/h2>\n<h2>Lions Terrace <\/h2>\n<\/div>\n<div class=\"app-left\">\n<h2>Lions Plaza<\/h2>\n<\/div>\n<\/div>\n\n<div class=\"wpcf7 no-js\" id=\"wpcf7-f393-o1\" lang=\"en-US\" dir=\"ltr\" data-wpcf7-id=\"393\">\n<div class=\"screen-reader-response\"><p role=\"status\" aria-live=\"polite\" aria-atomic=\"true\"><\/p> <ul><\/ul><\/div>\n<form action=\"\/housing\/wp-json\/wp\/v2\/pages\/22#wpcf7-f393-o1\" method=\"post\" class=\"wpcf7-form init\" aria-label=\"Contact form\" novalidate=\"novalidate\" data-status=\"init\">\n<fieldset class=\"hidden-fields-container\"><input type=\"hidden\" name=\"_wpcf7\" value=\"393\" \/><input type=\"hidden\" name=\"_wpcf7_version\" value=\"6.1.5\" \/><input type=\"hidden\" name=\"_wpcf7_locale\" value=\"en_US\" \/><input type=\"hidden\" name=\"_wpcf7_unit_tag\" value=\"wpcf7-f393-o1\" \/><input type=\"hidden\" name=\"_wpcf7_container_post\" value=\"0\" \/><input type=\"hidden\" name=\"_wpcf7_posted_data_hash\" value=\"\" \/><input type=\"hidden\" name=\"_wpcf7_recaptcha_response\" value=\"\" \/>\n<\/fieldset>\n<fieldset>\n\t<legend><strong>1.<\/strong> Applicant(s) Information\n\t<\/legend>\n\t<p>Please list all persons who would be residing in this housing unit should this application be accepted (scroll below). If a member of the household is expecting, please include the child with an estimated birth date. You will be required to provide Identification for all persons listed on this application prior to being accepted.\n\t<\/p>\n\t<table width=\"100%\" border=\"0\" cellspacing=\"0\" cellpadding=\"0\">\n\t\t<tr>\n\t\t\t<td valign=\"top\" width=\"33%\" align=\"center\" colspan=\"2\">\n\t\t\t\t<p><strong>Full Name*<\/strong>\n\t\t\t\t<\/p>\n\t\t\t<\/td>\n\t\t\t<td valign=\"top\" width=\"33%\" align=\"center\">\n\t\t\t\t<p><strong>Date of Birth*<\/strong>\n\t\t\t\t<\/p>\n\t\t\t<\/td>\n\t\t\t<td valign=\"top\" width=\"33%\">\n\t\t\t\t<p><strong>\u00a0\u00a0\u00a0Relationship to Applicant A*<\/strong>\n\t\t\t\t<\/p>\n\t\t\t<\/td>\n\t\t<\/tr>\n\t<\/table>\n\t<div class=\"applicant-list\">\n\t\t<table width=\"100%\" border=\"0\" cellspacing=\"0\" cellpadding=\"0\">\n\t\t\t<tr>\n\t\t\t\t<td>\n\t\t\t\t\t<p><strong>A.<\/strong>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/td>\n\t\t\t\t<td valign=\"top\">\n\t\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"nameA\"><input size=\"30\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Full Legal Name\" value=\"\" type=\"text\" name=\"nameA\" \/><\/span>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/td>\n\t\t\t\t<td valign=\"top\">\n\t\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"dob_A_d\"><input size=\"2\" maxlength=\"2\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"DD\" value=\"\" type=\"text\" name=\"dob_A_d\" \/><\/span><span class=\"wpcf7-form-control-wrap\" data-name=\"dob_A_m\"><input size=\"2\" maxlength=\"2\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"MM\" value=\"\" type=\"text\" name=\"dob_A_m\" \/><\/span><span class=\"wpcf7-form-control-wrap\" data-name=\"dob_A_y\"><input size=\"4\" maxlength=\"4\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"YYYY\" value=\"\" type=\"text\" name=\"dob_A_y\" \/><\/span>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/td>\n\t\t\t\t<td valign=\"top\">\n\t\t\t\t\t<p>List Spouse, Daughter, Son, etc\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/td>\n\t\t\t<\/tr>\n\t\t\t<tr>\n\t\t\t\t<td>\n\t\t\t\t\t<p><strong>B.<\/strong>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/td>\n\t\t\t\t<td valign=\"top\">\n\t\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"nameB\"><input size=\"30\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"nameB\" \/><\/span>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/td>\n\t\t\t\t<td valign=\"top\">\n\t\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"dob_B_d\"><input size=\"2\" maxlength=\"2\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" placeholder=\"DD\" value=\"\" type=\"text\" name=\"dob_B_d\" \/><\/span><span class=\"wpcf7-form-control-wrap\" data-name=\"dob_B_m\"><input size=\"2\" maxlength=\"2\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" placeholder=\"MM\" value=\"\" type=\"text\" name=\"dob_B_m\" \/><\/span><span class=\"wpcf7-form-control-wrap\" data-name=\"dob_B_y\"><input size=\"4\" maxlength=\"4\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" placeholder=\"YYYY\" value=\"\" type=\"text\" name=\"dob_B_y\" \/><\/span>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/td>\n\t\t\t\t<td valign=\"top\">\n\t\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"rel_nameB\"><input size=\"30\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"rel_nameB\" \/><\/span>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/td>\n\t\t\t<\/tr>\n\t\t\t<tr>\n\t\t\t\t<td>\n\t\t\t\t\t<p><strong>C.<\/strong>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/td>\n\t\t\t\t<td valign=\"top\">\n\t\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"nameC\"><input size=\"30\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"nameC\" \/><\/span>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/td>\n\t\t\t\t<td valign=\"top\">\n\t\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"dob_C_d\"><input size=\"2\" maxlength=\"2\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" placeholder=\"DD\" value=\"\" type=\"text\" name=\"dob_C_d\" \/><\/span><span class=\"wpcf7-form-control-wrap\" data-name=\"dob_C_m\"><input size=\"2\" maxlength=\"2\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" placeholder=\"MM\" value=\"\" type=\"text\" name=\"dob_C_m\" \/><\/span><span class=\"wpcf7-form-control-wrap\" data-name=\"dob_C_y\"><input size=\"4\" maxlength=\"4\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" placeholder=\"YYYY\" value=\"\" type=\"text\" name=\"dob_C_y\" \/><\/span>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/td>\n\t\t\t\t<td valign=\"top\">\n\t\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"rel_nameC\"><input size=\"30\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"rel_nameC\" \/><\/span>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/td>\n\t\t\t<\/tr>\n\t\t\t<tr>\n\t\t\t\t<td>\n\t\t\t\t\t<p><strong>D.<\/strong>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/td>\n\t\t\t\t<td valign=\"top\">\n\t\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"nameD\"><input size=\"30\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"nameD\" \/><\/span>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/td>\n\t\t\t\t<td valign=\"top\">\n\t\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"dob_D_d\"><input size=\"2\" maxlength=\"2\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" placeholder=\"DD\" value=\"\" type=\"text\" name=\"dob_D_d\" \/><\/span><span class=\"wpcf7-form-control-wrap\" data-name=\"dob_D_m\"><input size=\"2\" maxlength=\"2\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" placeholder=\"MM\" value=\"\" type=\"text\" name=\"dob_D_m\" \/><\/span><span class=\"wpcf7-form-control-wrap\" data-name=\"dob_D_y\"><input size=\"4\" maxlength=\"4\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" placeholder=\"YYYY\" value=\"\" type=\"text\" name=\"dob_D_y\" \/><\/span>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/td>\n\t\t\t\t<td valign=\"top\">\n\t\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"rel_nameD\"><input size=\"30\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"rel_nameD\" \/><\/span>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/td>\n\t\t\t<\/tr>\n\t\t\t<tr>\n\t\t\t\t<td>\n\t\t\t\t\t<p><strong>E.<\/strong>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/td>\n\t\t\t\t<td valign=\"top\">\n\t\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"nameE\"><input size=\"30\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"nameE\" \/><\/span>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/td>\n\t\t\t\t<td valign=\"top\">\n\t\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"dob_E_d\"><input size=\"2\" maxlength=\"2\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" placeholder=\"DD\" value=\"\" type=\"text\" name=\"dob_E_d\" \/><\/span><span class=\"wpcf7-form-control-wrap\" data-name=\"dob_E_m\"><input size=\"2\" maxlength=\"2\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" placeholder=\"MM\" value=\"\" type=\"text\" name=\"dob_E_m\" \/><\/span><span class=\"wpcf7-form-control-wrap\" data-name=\"dob_E_y\"><input size=\"4\" maxlength=\"4\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" placeholder=\"YYYY\" value=\"\" type=\"text\" name=\"dob_E_y\" \/><\/span>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/td>\n\t\t\t\t<td valign=\"top\">\n\t\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"rel_nameE\"><input size=\"30\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"rel_nameE\" \/><\/span>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/td>\n\t\t\t<\/tr>\n\t\t\t<tr>\n\t\t\t\t<td>\n\t\t\t\t\t<p><strong>F.<\/strong>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/td>\n\t\t\t\t<td valign=\"top\">\n\t\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"nameF\"><input size=\"30\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"nameF\" \/><\/span>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/td>\n\t\t\t\t<td valign=\"top\">\n\t\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"dob_F_d\"><input size=\"2\" maxlength=\"2\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" placeholder=\"DD\" value=\"\" type=\"text\" name=\"dob_F_d\" \/><\/span><span class=\"wpcf7-form-control-wrap\" data-name=\"dob_F_m\"><input size=\"2\" maxlength=\"2\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" placeholder=\"MM\" value=\"\" type=\"text\" name=\"dob_F_m\" \/><\/span><span class=\"wpcf7-form-control-wrap\" data-name=\"dob_F_y\"><input size=\"4\" maxlength=\"4\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" placeholder=\"YYYY\" value=\"\" type=\"text\" name=\"dob_F_y\" \/><\/span>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/td>\n\t\t\t\t<td valign=\"top\">\n\t\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"rel_nameF\"><input size=\"30\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"rel_nameF\" \/><\/span>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/td>\n\t\t\t<\/tr>\n\t\t<\/table>\n\t<\/div>\n<\/fieldset>\n<fieldset>\n\t<legend><strong>2.<\/strong> Please provide all current phone numbers\n\t<\/legend>\n\t<table width=\"100%\" border=\"0\" cellspacing=\"0\" cellpadding=\"0\">\n\t\t<tr>\n\t\t\t<td valign=\"top\" width=\"50%\">\n\t\t\t\t<p>Tel*: <span class=\"wpcf7-form-control-wrap\" data-name=\"tel-1\"><input size=\"12\" maxlength=\"15\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"604-123-4567\" value=\"\" type=\"text\" name=\"tel-1\" \/><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/td>\n\t\t\t<td valign=\"top\" width=\"50%\">\n\t\t\t\t<p>Tel: <span class=\"wpcf7-form-control-wrap\" data-name=\"tel-2\"><input size=\"12\" maxlength=\"15\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"tel-2\" \/><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/td>\n\t\t<\/tr>\n\t\t<tr>\n\t\t\t<td valign=\"top\">\n\t\t\t\t<p>Tel: <span class=\"wpcf7-form-control-wrap\" data-name=\"tel-3\"><input size=\"12\" maxlength=\"15\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"tel-3\" \/><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/td>\n\t\t\t<td valign=\"top\">\n\t\t\t\t<p>Tel: <span class=\"wpcf7-form-control-wrap\" data-name=\"tel-3\"><input size=\"12\" maxlength=\"15\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"tel-3\" \/><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/td>\n\t\t<\/tr>\n\t<\/table>\n<\/fieldset>\n<fieldset>\n\t<legend><strong>3.<\/strong> Provide your email address (one email only)\n\t<\/legend>\n\t<table width=\"100%\" border=\"0\" cellspacing=\"0\" cellpadding=\"0\">\n\t\t<tr>\n\t\t\t<td>\n\t\t\t\t<p>Email*: <span class=\"wpcf7-form-control-wrap\" data-name=\"your-email\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-email wpcf7-validates-as-required wpcf7-text wpcf7-validates-as-email\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"email\" name=\"your-email\" \/><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/td>\n\t\t<\/tr>\n\t<\/table>\n<\/fieldset>\n<fieldset>\n\t<legend><strong>4.<\/strong> Current Address\n\t<\/legend>\n\t<p>Please provide your current address. If you do not have a permanent address, please provide an address that we can use to mail you any information or updates.\n\t<\/p>\n\t<table width=\"100%\" border=\"0\" cellspacing=\"0\" cellpadding=\"0\">\n\t\t<tr>\n\t\t\t<td>\n\t\t\t\t<p>Address 1*:\n\t\t\t\t<\/p>\n\t\t\t<\/td>\n\t\t\t<td>\n\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"address1\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"address1\" \/><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/td>\n\t\t\t<td>\n\t\t\t\t<p>Address 2:\n\t\t\t\t<\/p>\n\t\t\t<\/td>\n\t\t\t<td>\n\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"address2\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"address2\" \/><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/td>\n\t\t<\/tr>\n\t\t<tr>\n\t\t\t<td>\n\t\t\t\t<p>City*:\n\t\t\t\t<\/p>\n\t\t\t<\/td>\n\t\t\t<td>\n\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"city\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"city\" \/><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/td>\n\t\t\t<td>\n\t\t\t\t<p>Postal Code*:\n\t\t\t\t<\/p>\n\t\t\t<\/td>\n\t\t\t<td>\n\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"postal\"><input size=\"6\" maxlength=\"6\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"postal\" \/><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/td>\n\t\t<\/tr>\n\t<\/table>\n<\/fieldset>\n<fieldset>\n\t<legend><strong>5.<\/strong> Do you have Pets?\n\t<\/legend>\n\t<p>Please advise the type and number of pets in your family. We have strict pet regulations and a pet damage deposit is required.\n\t<\/p>\n\t<table width=\"100%\" border=\"0\" cellspacing=\"0\" cellpadding=\"0\">\n\t\t<tr>\n\t\t\t<td>\n\t\t\t\t<p>Do you have pets?* <span class=\"wpcf7-form-control-wrap\" data-name=\"radio-pets\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><span class=\"wpcf7-list-item-label\">Yes<\/span><input type=\"radio\" name=\"radio-pets\" value=\"Yes\" \/><\/span><span class=\"wpcf7-list-item last\"><span class=\"wpcf7-list-item-label\">No<\/span><input type=\"radio\" name=\"radio-pets\" value=\"No\" \/><\/span><\/span><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/td>\n\t\t\t<td>\n\t\t\t\t<p>Number of Pets: <span class=\"wpcf7-form-control-wrap\" data-name=\"text-number-pets\"><input size=\"2\" maxlength=\"1\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"text-number-pets\" \/><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/td>\n\t\t\t<td>\n\t\t\t\t<p>Type of Pet(s): <span class=\"wpcf7-form-control-wrap\" data-name=\"checkbox-pets\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first\"><span class=\"wpcf7-list-item-label\">Dog<\/span><input type=\"checkbox\" name=\"checkbox-pets[]\" value=\"Dog\" \/><\/span><span class=\"wpcf7-list-item\"><span class=\"wpcf7-list-item-label\">Cat<\/span><input type=\"checkbox\" name=\"checkbox-pets[]\" value=\"Cat\" \/><\/span><span class=\"wpcf7-list-item\"><span class=\"wpcf7-list-item-label\">Bird<\/span><input type=\"checkbox\" name=\"checkbox-pets[]\" value=\"Bird\" \/><\/span><span class=\"wpcf7-list-item last\"><span class=\"wpcf7-list-item-label\">Other<\/span><input type=\"checkbox\" name=\"checkbox-pets[]\" value=\"Other\" \/><\/span><\/span><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/td>\n\t\t<\/tr>\n\t<\/table>\n<\/fieldset>\n<fieldset>\n\t<legend><strong>6.<\/strong> Eligibility\n\t<\/legend>\n\t<p>Please describe your eligibility for rent geared to income housing. Provide the following information on income <strong>for all adult applicants<\/strong>. Paperwork verifying this information would be required should you be accepted for one of our units.\n\t<\/p>\n\t<table width=\"100%\" border=\"0\" cellspacing=\"0\" cellpadding=\"0\">\n\t\t<tr>\n\t\t\t<td>\n\t\t\t\t<p>Applicant A:\n\t\t\t\t<\/p>\n\n<!-- Nest table -->\n\t\t\t\t<table width=\"100%\">\n\t\t\t\t\t<tr>\n\t\t\t\t\t\t<td align=\"center\">\n\t\t\t\t\t\t\t<p><strong>Source of Income<\/strong><strong><\/strong>\n\t\t\t\t\t\t\t<\/p>\n\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t<td align=\"center\">\n\t\t\t\t\t\t\t<p><strong>Location of Employment<\/strong><strong><\/strong>\n\t\t\t\t\t\t\t<\/p>\n\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t<td align=\"center\">\n\t\t\t\t\t\t\t<p><strong>How long there<\/strong><strong><\/strong>\n\t\t\t\t\t\t\t<\/p>\n\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t<td align=\"center\">\n\t\t\t\t\t\t\t<p><strong>Gross Annual Income<\/strong><strong><\/strong>\n\t\t\t\t\t\t\t<\/p>\n\t\t\t\t\t\t<\/td>\n\t\t\t\t\t<\/tr>\n\t\t\t\t\t<tr>\n\t\t\t\t\t\t<td>\n\t\t\t\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"text-employerA\"><input size=\"15\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"text-employerA\" \/><\/span>\n\t\t\t\t\t\t\t<\/p>\n\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t<td>\n\t\t\t\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"text-employer-locA\"><input size=\"15\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"text-employer-locA\" \/><\/span>\n\t\t\t\t\t\t\t<\/p>\n\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t<td>\n\t\t\t\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"text-position-longA\"><input size=\"15\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"text-position-longA\" \/><\/span>\n\t\t\t\t\t\t\t<\/p>\n\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t<td>\n\t\t\t\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"menu-incomeA\"><select class=\"wpcf7-form-control wpcf7-select\" aria-invalid=\"false\" name=\"menu-incomeA\"><option value=\"No income\">No income<\/option><option value=\"$1 - $30,000\">$1 - $30,000<\/option><option value=\"$30,000 - $50,000\">$30,000 - $50,000<\/option><option value=\"$50,000 - $65,000\">$50,000 - $65,000<\/option><option value=\"$65,000 - $80,000\">$65,000 - $80,000<\/option><option value=\"$80,000+\">$80,000+<\/option><\/select><\/span>\n\t\t\t\t\t\t\t<\/p>\n\t\t\t\t\t\t<\/td>\n\t\t\t\t\t<\/tr>\n\t\t\t\t<\/table>\n<!-- Nest table -->\n\t\t\t\t<p>Applicant B:\n\t\t\t\t<\/p>\n\n<!-- Nest table -->\n\t\t\t\t<table width=\"100%\">\n\t\t\t\t\t<tr>\n\t\t\t\t\t\t<td align=\"center\">\n\t\t\t\t\t\t\t<p><strong>Source of Income<\/strong><strong><\/strong>\n\t\t\t\t\t\t\t<\/p>\n\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t<td align=\"center\">\n\t\t\t\t\t\t\t<p><strong>Location of Employment<\/strong><strong><\/strong>\n\t\t\t\t\t\t\t<\/p>\n\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t<td align=\"center\">\n\t\t\t\t\t\t\t<p><strong>How long there<\/strong><strong><\/strong>\n\t\t\t\t\t\t\t<\/p>\n\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t<td align=\"center\">\n\t\t\t\t\t\t\t<p><strong>Gross Annual Income<\/strong><strong><\/strong>\n\t\t\t\t\t\t\t<\/p>\n\t\t\t\t\t\t<\/td>\n\t\t\t\t\t<\/tr>\n\t\t\t\t\t<tr>\n\t\t\t\t\t\t<td>\n\t\t\t\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"text-employerB\"><input size=\"15\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"text-employerB\" \/><\/span>\n\t\t\t\t\t\t\t<\/p>\n\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t<td>\n\t\t\t\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"text-employer-locB\"><input size=\"15\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"text-employer-locB\" \/><\/span>\n\t\t\t\t\t\t\t<\/p>\n\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t<td>\n\t\t\t\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"text-position-longB\"><input size=\"15\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"text-position-longB\" \/><\/span>\n\t\t\t\t\t\t\t<\/p>\n\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t<td>\n\t\t\t\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"menu-incomeB\"><select class=\"wpcf7-form-control wpcf7-select\" aria-invalid=\"false\" name=\"menu-incomeB\"><option value=\"No income\">No income<\/option><option value=\"$1 - $30,000\">$1 - $30,000<\/option><option value=\"$30,000 - $50,000\">$30,000 - $50,000<\/option><option value=\"$50,000 - $65,000\">$50,000 - $65,000<\/option><option value=\"$65,000 - $80,000\">$65,000 - $80,000<\/option><option value=\"$80,000+\">$80,000+<\/option><\/select><\/span>\n\t\t\t\t\t\t\t<\/p>\n\t\t\t\t\t\t<\/td>\n\t\t\t\t\t<\/tr>\n\t\t\t\t<\/table>\n<!-- Nest table -->\n\t\t\t<\/td>\n\t\t<\/tr>\n\t<\/table>\n<\/fieldset>\n<fieldset>\n\t<legend><strong>7.<\/strong> References\n\t<\/legend>\n\t<p>Please provide the following reference information.\n\t<\/p>\n\t<table width=\"100%\" border=\"0\" cellspacing=\"0\" cellpadding=\"0\">\n\t\t<tr>\n\t\t\t<td>\n\t\t\t\t<p>Present Landlord*: <span class=\"wpcf7-form-control-wrap\" data-name=\"text-pres-landlord\"><input size=\"30\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"text-pres-landlord\" \/><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/td>\n\t\t\t<td colspan=\"2\">\n\t\t\t\t<p>Phone Number*: <span class=\"wpcf7-form-control-wrap\" data-name=\"text-pres-landlord-tel\"><input size=\"12\" maxlength=\"15\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"604-123-4567\" value=\"\" type=\"text\" name=\"text-pres-landlord-tel\" \/><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/td>\n\t\t<\/tr>\n\t\t<tr>\n\t\t\t<td>\n\t\t\t\t<p>How long there?*: <span class=\"wpcf7-form-control-wrap\" data-name=\"text-pres-long\"><input size=\"10\" maxlength=\"12\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"text-pres-long\" \/><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/td>\n\t\t\t<td>\n\t\t\t\t<p>No. of bedrooms*: <span class=\"wpcf7-form-control-wrap\" data-name=\"text-pres-br\"><input size=\"1\" maxlength=\"2\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"text-pres-br\" \/><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/td>\n\t\t\t<td>\n\t\t\t\t<p>Rent paid*: $<span class=\"wpcf7-form-control-wrap\" data-name=\"text-pres-rent\"><input size=\"4\" maxlength=\"5\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"text-pres-rent\" \/><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/td>\n\t\t<\/tr>\n\t<\/table>\n\t<table width=\"100%\" border=\"0\" cellspacing=\"0\" cellpadding=\"0\">\n\t\t<tr>\n\t\t\t<td>\n\t\t\t\t<p>Previous Landlord: <span class=\"wpcf7-form-control-wrap\" data-name=\"text-prev-landlord\"><input size=\"30\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"text-prev-landlord\" \/><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/td>\n\t\t\t<td colspan=\"2\">\n\t\t\t\t<p>Phone Number: <span class=\"wpcf7-form-control-wrap\" data-name=\"text-prev-landlord-tel\"><input size=\"12\" maxlength=\"15\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" placeholder=\"604-123-4567\" value=\"\" type=\"text\" name=\"text-prev-landlord-tel\" \/><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/td>\n\t\t<\/tr>\n\t\t<tr>\n\t\t\t<td>\n\t\t\t\t<p>How long there?: <span class=\"wpcf7-form-control-wrap\" data-name=\"text-prev-long\"><input size=\"10\" maxlength=\"12\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"text-prev-long\" \/><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/td>\n\t\t\t<td>\n\t\t\t\t<p>No. of bedrooms: <span class=\"wpcf7-form-control-wrap\" data-name=\"text-prev-br\"><input size=\"1\" maxlength=\"2\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"text-prev-br\" \/><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/td>\n\t\t\t<td>\n\t\t\t\t<p>Rent paid: $<span class=\"wpcf7-form-control-wrap\" data-name=\"text-prev-rent\"><input size=\"4\" maxlength=\"5\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"text-prev-rent\" \/><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/td>\n\t\t<\/tr>\n\t<\/table>\n<\/fieldset>\n<fieldset>\n\t<legend><strong>8.<\/strong> Moving\n\t<\/legend>\n\t<table width=\"100%\" border=\"0\" cellspacing=\"0\" cellpadding=\"0\">\n\t\t<tr>\n\t\t\t<td>\n\t\t\t\t<p>Please provide the reason why you want to move from your present address?\n\t\t\t\t<\/p>\n\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"textarea-pres\"><textarea cols=\"40\" rows=\"1\" maxlength=\"2000\" class=\"wpcf7-form-control wpcf7-textarea\" aria-invalid=\"false\" name=\"textarea-pres\"><\/textarea><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/td>\n\t\t<\/tr>\n\t\t<tr>\n\t\t\t<td>\n\t\t\t\t<p>Are you required to provide one month notice to your present landlord?* <span class=\"wpcf7-form-control-wrap\" data-name=\"radio-move\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><span class=\"wpcf7-list-item-label\">Yes<\/span><input type=\"radio\" name=\"radio-move\" value=\"Yes\" \/><\/span><span class=\"wpcf7-list-item last\"><span class=\"wpcf7-list-item-label\">No<\/span><input type=\"radio\" name=\"radio-move\" value=\"No\" \/><\/span><\/span><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/td>\n\t\t<\/tr>\n\t<\/table>\n<\/fieldset>\n<fieldset>\n\t<legend><strong>9.<\/strong> Parking\n\t<\/legend>\n\t<table width=\"100%\" border=\"0\" cellspacing=\"0\" cellpadding=\"0\">\n\t\t<tr>\n\t\t\t<td colspan=\"2\">\n\t\t\t\t<p>Please provide the following information on your families vehicles. Please note, parking is provided for one vehicle only.\n\t\t\t\t<\/p>\n\t\t\t<\/td>\n\t\t<\/tr>\n\t\t<tr>\n\t\t\t<td>\n\t\t\t\t<p>Make \/ Model: <span class=\"wpcf7-form-control-wrap\" data-name=\"text-car-make\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"text-car-make\" \/><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/td>\n\t\t\t<td>\n\t\t\t\t<p>License Plate No.: <span class=\"wpcf7-form-control-wrap\" data-name=\"text-car-plate\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"text-car-plate\" \/><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/td>\n\t\t<\/tr>\n\t\t<tr>\n\t\t<\/tr>\n\t<\/table>\n<\/fieldset>\n<fieldset>\n\t<legend><strong>10.<\/strong> Declaration\n\t<\/legend>\n\t<p>I\/We declare that the information supplied on this application is true and correct. I\/We understand that this application does not constitute an agreement on the part of the MOUNT SEYMOUR LIONS HOUSING SOCIETY to provide me\/us with rental accommodation and that this application might not be retained by the MOUNT SEYMOUR LIONS HOUSING SOCIETY once the application has been reviewed for a particular housing project.<br \/>\nRequired Click for submission\n\t<\/p>\n\t<p>For the purpose of assessing this application, I\/We hereby consent to allow the MOUNT SEYMOUR LIONS HOUSING SOCIETY permission to obtain credit and\/or personal reports on me\/us from one or more agencies or individuals. I\/We hereby authorize agencies or individuals to provide whatever such information they may have to the MOUNT SEYMOUR LIONS HOUSING SOCIETY relative to an assessment of this application.\n\t<\/p>\n\t<p><strong>I\/We accept the above terms<\/strong><span class=\"wpcf7-form-control-wrap\" data-name=\"acceptance-declaration\"><span class=\"wpcf7-form-control wpcf7-acceptance\"><span class=\"wpcf7-list-item\"><input type=\"checkbox\" name=\"acceptance-declaration\" value=\"1\" aria-invalid=\"false\" \/><\/span><\/span><\/span><strong> *required<\/strong>\n\t<\/p>\n<\/fieldset>\n<fieldset>\n\t<legend><strong>11.<\/strong> No Smoking policy\n\t<\/legend>\n\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"acceptance-nosmoking\"><span class=\"wpcf7-form-control wpcf7-acceptance\"><span class=\"wpcf7-list-item\"><input type=\"checkbox\" name=\"acceptance-nosmoking\" value=\"1\" aria-invalid=\"false\" \/><\/span><\/span><\/span> By checking this box the applicant(s) acknowledge understanding that the Mt. Seymour Lions resident units, building and surrounding grounds are strictly smoke and vape free; that any tenancy offered will include a material term covenant for each tenant and guest not to smoke, burn or otherwise combust material in the rental unit, outdoor balconies or on the entire property at any time or for any purpose.\n\t<\/p>\n<\/fieldset>\n<fieldset>\n\t<legend>12. Anti-spam Quiz\n\t<\/legend>\n\t<p>To confirm you are human and not a spam robot please complete this simple quiz: <span class=\"wpcf7-form-control-wrap\" data-name=\"quiz-189\"><label><span class=\"wpcf7-quiz-label\">2+2=?<\/span> <input size=\"1\" maxlength=\"4\" class=\"wpcf7-form-control wpcf7-quiz\" autocomplete=\"off\" aria-required=\"true\" aria-invalid=\"false\" type=\"text\" name=\"quiz-189\" \/><\/label><input type=\"hidden\" name=\"_wpcf7_quiz_answer_quiz-189\" value=\"1dd918733e1247a1ce284802727557a2\" \/><\/span>\n\t<\/p>\n<\/fieldset>\n\n<!-- submit -->\n<p align=\"center\"><input class=\"wpcf7-form-control wpcf7-submit has-spinner\" type=\"submit\" value=\"Submit Application Form\" \/>\n<\/p>\n<p>Please scroll up to top for submission status.\n<\/p>\n<p align=\"center\">An email will be sent to you on successful completion of the application.\n<\/p>\n\n<!-- submit -->\n<p><strong>Please note: The MSLHS will mail out updates or information to the address provided. It is important to keep your information current in order to stay in the applicant pool. Incomplete applications will not be considered. This application will remain part of a larger pool of applicants and will not receive a date priority. <\/strong>\n<\/p><div class=\"wpcf7-response-output\" aria-hidden=\"true\"><\/div>\n<\/form>\n<\/div>\n\n<p>Tel: 604-929-9499<br \/>\nFax: 604-929-9404<br \/>\n<script type=\"text\/javascript\" language=\"javascript\">\n<!--\n\/\/ Email obfuscator script 2.1 by Tim Williams, University of Arizona\n\/\/ Random encryption key feature by Andrew Moulden, Site Engineering Ltd\n\/\/ This code is freeware provided these four comment lines remain intact\n\/\/ A wizard to generate this code is at http:\/\/www.jottings.com\/obfuscator\/\n{ coded = \"Ph3Wh@oG3Qh.5Go\"\n  key = \"abIo5DCZeEUvHFVmBq4sJjcG1pASyYPRlLh6X27dx8kugTM3OWtnzKr9iNQ0fw\"\n  shift=coded.length\n  link=\"\"\n  for (i=0; i<coded.length; i++) {\n    if (key.indexOf(coded.charAt(i))==-1) {\n      ltr = coded.charAt(i)\n      link += (ltr)\n    }\n    else {     \n      ltr = (key.indexOf(coded.charAt(i))-shift+key.length) % key.length\n      link += (key.charAt(ltr))\n    }\n  }\ndocument.write(\"<a href='mailto:\"+link+\"'>E-mail MSLHS<\/a>\")\n}\n\/\/-->\n<\/script><noscript>Sorry, you need Javascript on to email us.<\/noscript><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Lions Garey Ham Court Lions Terrace Lions Plaza Tel: 604-929-9499 Fax: 604-929-9404 Sorry, you need Javascript on to email us.<\/p>\n","protected":false},"author":5,"featured_media":0,"parent":113,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"page-col-1.php","meta":{"footnotes":""},"class_list":["post-22","page","type-page","status-publish","hentry","count-1","odd","clear-block","thumb-left","author-mslh-admin"],"_links":{"self":[{"href":"https:\/\/www.mountseymourlions.org\/housing\/wp-json\/wp\/v2\/pages\/22","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.mountseymourlions.org\/housing\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.mountseymourlions.org\/housing\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.mountseymourlions.org\/housing\/wp-json\/wp\/v2\/users\/5"}],"replies":[{"embeddable":true,"href":"https:\/\/www.mountseymourlions.org\/housing\/wp-json\/wp\/v2\/comments?post=22"}],"version-history":[{"count":10,"href":"https:\/\/www.mountseymourlions.org\/housing\/wp-json\/wp\/v2\/pages\/22\/revisions"}],"predecessor-version":[{"id":643,"href":"https:\/\/www.mountseymourlions.org\/housing\/wp-json\/wp\/v2\/pages\/22\/revisions\/643"}],"up":[{"embeddable":true,"href":"https:\/\/www.mountseymourlions.org\/housing\/wp-json\/wp\/v2\/pages\/113"}],"wp:attachment":[{"href":"https:\/\/www.mountseymourlions.org\/housing\/wp-json\/wp\/v2\/media?parent=22"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}