PLEASE
NOTE: 		Human Services is partners with several agencies in the Region of Peel who can help you to complete the application form and answer questions about subsidized housing. The Human Services Assessment Unit can provide you with a list of these agencies or check our website at www.peelregion.ca/housing.
Section 1: Main Applicant Information (Primary Household Contact)
 
Title
 Last Name
 First Name
Date of Birth (DD-MM-YYYY)
 Applicant(s) Status:
Status in Canada: (Proof of status in Canada required)
Current Address:
Address
 Apt./Unit No.
City
 Province
 Postal Code
Home Phone No.
- - 		Business/School Phone No.
- - 		Cellular Phone No.
- -

Is your Mailing Address different than your Current Address?

Address
City
 Province
 Postal Code

Previous Address:

Address
 Apt./Unit No.
City
 Province
 Postal Code

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