• 1045 Concordia Avenue , Winnipeg MB
  • 204-667-0795
Rental Application Form

RENTAL APPLICATION

Choose where you would like to direct your application below:

Household Member Information

Please provide personal information below for all the people who will live in the household including you the applicant.

Repeater for Household Information

If you want another person as the main contact for your application, please provide the following information:

Do you: *

Rental History

Please provide at least 2 rental historys for each of the applicants.

Rental History Repeater

Income Monthly

Applicant

Co-Applicant

Savings, Investments, Property

Medical Information is Voluntary

Next of Kin or Contact Person

Repeater Next of Kin

Employment & Income Assistance

If you receive Employment & Income Assistance, please provide the following information:

SPECIAL CIRCUMSTANCES

Please answer the following questions. If you check "Yes", you may need to provide at a later date
the required documents listed beside the question when you submit your application.

If "Yes" enter contact name and phone below: