» Tenant Application

Goodwill Niagara is proud to offer safe, affordable housing across the Niagara region. If you’re in need of supportive housing, complete the form below to apply. All information will be kept confidential and reviewed by our housing team.

"*" indicates required fields

Phone

This field is for validation purposes and should be left unchanged.

Applicant Information

Residence*

Applying For*

Name*

First Last

Email*

Home / Cell Phone*

Work Phone

Date of Birth*

Current Address*

Street Address City Province Postal Code

Co-Applicant Information

Co-Applicant Name*

First Last

Co-Applicant Email*

Co-Applicant Home / Cell Phone*

Co-Applicant Work Phone

Relationship to Applicant*

Other Residents

Will anyone else be living with you?*

Who will be living with you?*

Name

Date of Birth

Gender

Relationship to Applicant

Current Accommodation Information

If living in temporary accommodation, please specify

Current Landlord’s Name*

First Last

Current Landlord’s Phone Number*

Date you moved into your current accommodation

Current Monthly Rent Cost*

How long have you lived in your current accommodation?*

Are you under notice to vacate your home? If yes, when? Why?

Previous Accommodation Information

Previous Landlords

Previous Address

Landlord’s Name

Landlord’s Phone Number

Move In / Move Out Dates

Do you owe money to any non profit or co-operative housing provider?*

Amount Owing*

Is there a repayment plan?*

Household Income

TOTAL MONTHLY HOUSEHOLD INCOME (Total amount before deductions)
You must state all sources of income for each member of your household over the age of 16. Proof of income is required i.e.: photocopies of pay stubs and/or bank books showing monthly income deposits.
Please note: if you are contacted, you will need to provide proof of income.

Applicant Source of Income*

Employment Ontario Works, ODSP (Ontario Disability Support Program), Employment Insurance (EI), Worker’s Compensation, Guaranteed Income Supplement, Old Age Security (OAS), Canada Pension (CPP), Other Pension, Other Country Pension, Other Income

Co-Applicant Source of Income*

Declaration

Pursuant to the Provincial / Municipal Freedom of Information and Protection of Privacy Act, I give my consent and authorization to Goodwill Niagara:1. To make inquiries to verify the information given on this application and I authorize any person, corporation or any social agency having knowledge of any such required information to release the information to Goodwill Niagara. I agree to provide any supporting material required for my application.2. To disclose the information given on this form to non-profit housing corporations, co-operatives, and other municipal, provincial, and federal departments and agencies that assist in the provision of affordable housing and social agencies providing social assistance to me and persons listed on this application.3. I understand that if I have any arrears owing to any non-profit or co-operative housing provider and have not made acceptable payment arrangements, I will be deemed ineligible.4. I understand that I must advise Goodwill Niagara of any changes in contact information and/or household composition within 10 days of the change or my application will be cancelled and I must reapply.

Download Tenant Application (PDF)