Rental Application Form

437 23rd Street, Fort Macleod, AB T0L 0Z0

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Applicant Name *

First

Last

Phone Number

Email *

Date of Birth *

Names, ages and relationships of all intended occupants *

of Email Phone

What is your current living situation? *

• Rent
• Homeowner
• Live with Parent

Current Address *

Time at Current Address (yrs/​months)

Current Rent Amount

Current Landlord Name

Current Landlord's Phone #

Employment Status *

• Employed
• Unemployed
• Student
• Retired

Reference 1 *

First

Last

Reference Phone Number *

Relationship to Reference *

Reference 2

First

Last

Reference Phone Number

Relationship to Reference

Submit