Housing Application – Malahat Nation

This application form is designed to collect specific information from applicants seeking housing. The Housing Department will use this information to determine your eligibility for housing and the types of accommodation that best suit your needs.

Full Name *

First

Last

Date of Birth

Gender

Female
Male
Non-Binary

Martial Status

Single
Common Law
Married

Malahat Member

Yes
No

Requirement minimum 2 years of membership to be eligible for Housing.

Status Number

Phone

Email *

Address

Address Line 1

City

State / Province / Region

Postal Code

Country

Number of Occupants

Selected Value: 0

Have you applied for Housing in Malahat before?

Yes
No

Have you lived in Malahat in the past 5 years?

Yes
No

Primary reason for applying for Housing?

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