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Online Application Form​

Please fill out the following form for applying for our Independent Living Suites. Please note, our facilities do not allow Pets.
Lions Housing Centres does not provide emergency housing.
Which Facility are you applying for?
What size unit are you looking for?
What size unit are you looking for?
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Income

Monthly Income Sources
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Additional Information

Check the appropriate box(es) below to indicate who you are applying to live with if over age 18:
Do you or any member you intend on living with have physical or mobility limitations that impact the type of housing required?
Do you plan on having a pet?
Do you prefer a building that is:
Do you need a parking stall?
Do you require any of the following services?

Support Information

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Next of Kin:

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Thanks for submitting! A representative will be in contact with you via Phone or Email

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