Please enable JavaScript in your browser to complete this form.Unit Name772 Queen Street South – Lower Unit, Kitchener, ON – 1 Bedroom $1,750 per monthApplicant Name *Co-Applicant NameIs there a Co-Applicant?YesNoApplicant Email *Co-Applicant EmailApplicant Phone *Co-Applicant PhoneApplicant Driver's License #Applicant's Driver's License ExpiryCo-Applicant Driver's License #Co-Applicant's Driver's License ExpiryApplicant Address *Address Line 1Address Line 2CityState / Province / RegionPostal CodeCo-Applicant Address – If the same as applicant, leave blankAddress Line 1Address Line 2CityState / Province / RegionPostal CodeApplicant – How Long at Present Address?Co-Applicant – How Long at Present Address? – If the same as applicant, leave blankApplicant – Lease/Term/ExpiryCo-Applicant – Lease/Term/Expiry – If the same as applicant, leave blankLandlord InfoApplicant Landlord NameCo-Applicant Landlord Name – If the same as applicant, leave blankApplicant Landlord's PhoneCo-Applicant Landlord's Phone – If the same as applicant, leave blankApplicant – Current Rent AmountCo-Applicant – Current Rent Amount – If the same as applicant, leave blankOther than the Applicant (or Co-Applicant if applicable), who else will be living in the Unit?Occupant #1 of UnitRelationship to ApplicantAgeOccupant #2Relationship to ApplicantAgeOccupant #3Relationship to ApplicantAgeDo you have any pets? *Please provide details of pets and for dogs what size they are. If none, write none.What date are you looking to start your tenancy? *OccupationApplicant Occupation *Co-Applicant Occupation *Applicant Employer *Co-Applicant Employer *Applicant Employer Address *Co-Applicant Employer Address *Applicant Employer Type of Business *Co-Applicant Employer Type of Business *Applicant Position Held *Co-Applicant Position Held *Applicant – First & Last Name of Supervisor *Co-Applicant – First & Last Name of Supervisor *Applicant – How long with Current Employer? *Co-Applicant – How long with Current Employer? *Applicant – Current Monthly Gross Income *Co-Applicant – Current Monthly Gross Income *Has the Applicant been employed or self-employed less than 2 years?YesNoHas the Co-Applicant been employed or self-employed less than 2 years?YesNoAs the Applicant answered yes to the above question, please complete the following:As the Co-Applicant answered yes to the above question, please complete the following:Applicant Previous EmployerCo-Applicant Previous EmployerApplicant How Long at Previous Employer?Co-Applicant How Long at Previous Employer?Applicant – Previous Monthly Gross IncomeCo-Applicant – Previous Monthly Gross IncomeDoes the Applicant have any other occupations? If so, what are they and what is the monthly gross income? Does the Co-Applicant have any other occupations? If so, what are they and what is the monthly gross income?Applicant – Have you filed a petition for bankruptcy? *YesNoIf Applicant answered yes to filing for bankruptcy, please provide details:Co-Applicant – Have you filed a petition for bankruptcy? *YesNoIf Co-Applicant answered yes to filing for bankruptcy, please provide details:Applicant – Have you ever been evicted from a tenancy? *YesNoIf Applicant answered yes to an eviction, please provide details:Co-Applicant – Have you ever been evicted from a tenancy? *YesNoIf Co-Applicant answered yes to an eviction, please provide details:Applicant – Have you ever willfully and intentionally refused to pay any rent when due? *YesNoIf Applicant answered yes to not paying rent, please provide details:Co-Applicant – Have you ever willfully and intentionally refused to pay any rent when due? *YesNoIf Co-Applicant answered yes to not paying rent, please provide details:Applicant Employer ReferencesApplicant Employer Reference *Applicant Employer Address *Applicant Employer Phone # *Applicant Employer Length of Acquaintance *Applicant Employer 2 ReferenceApplicant Employer 2 AddressApplicant Employer 2 Phone #Employer 2 Length of AcquaintanceApplicant Personal References – Please provide 2 personal referencesApplicant Personal Reference (Non-family) *Applicant Personal Reference Address *Applicant Personal Reference Phone # *Applicant Personal Reference Length of Acquaintance *Applicant Personal Reference 2 (Non-family) *Applicant Personal Reference 2 Address *Applicant Personal Reference 2 Phone # *Personal Reference 2 Length of Acquaintance *Co-Applicant Employer ReferencesCo-Applicant Employer ReferenceCo-Applicant Employer AddressCo-Applicant Employer Phone #Co-Applicant Employer Length of AcquaintanceCo-Applicant Employer 2 ReferenceCo-Applicant Employer 2 AddressCo-Applicant Employer 2 Phone #Co-Applicant Employer 2 Length of AcquaintanceCo-Applicant Personal References – Please provide 2 personal referencesCo-Applicant Personal Reference (Non-family)Co-Applicant Personal Reference AddressCo-Applicant Personal Reference Phone #Co-Applicant Personal Reference Length of AcquaintanceCo-Applicant Personal Reference 2 (Non-family)Personal Reference 2 AddressCo-Applicant Personal Reference 2 Phone #Co-Applicant Personal Reference 2 Length of AcquaintanceTell us anything more about yourself that you would like to add to your application.Attestation(s) & Signature(s)In order for you to electronically sign and date the application, you must agree to the following statements:As the Applicant, I DECLARE THAT THE FOREGOING INFORMATION IS TRUE AND CORRECT. I AUTHORIZE ITS VERIFICATION AND THE OBTAINING OF CONSUMER CREDIT REPORT. *Please Check if you agree with the above statementAs the Applicant, I agree that Landlord may terminate any agreement entered into in reliance on any mis-statement or untrue statement made above. *Please Check if you agree with the above statementAs the Applicant, I WILL OBTAIN A CONSUMER CREDIT SCORE AND FORWARD TO JOHN@JOHNJORDAN.CA IN THE NEXT 5 DAYS *Please Check if you agree to obtain a Credit Score Rating. This is mandatory requirement as part of the application process.A credit score can be obtained from either Borrowell.com or creditkarma.ca . Both are free to enable you to access your information. You will need to set up a free account on the site to obtain this information. RBC, BMO, CIBC, and Scotiabank all have Credit Score checks with their online banking. When you obtain the Credit Score, please forward a screenshot showing your name and the Credit Score to john@johnjordan.ca .Completing your name as the Applicant in this field is an authorizing signature *Date *As the Co-Applicant, I DECLARE THAT THE FOREGOING INFORMATION IS TRUE AND CORRECT. I AUTHORIZE ITS VERIFICATION AND THE OBTAINING OF CONSUMER CREDIT REPORT. *Please Check if you agree with the above statementAs the Co-Applicant, I agree that Landlord may terminate any agreement entered into in reliance on any mis-statement or untrue statement made above. *Please Check if you agree with the above statementAs the Co-Applicant, I WILL OBTAIN A CONSUMER CREDIT SCORE AND FORWARD TO JOHN@JOHNJORDAN.CA IN THE NEXT 5 DAYS *Please Check if you agree to obtain a Credit Score Rating. This is mandatory requirement as part of the application process.A credit score can be obtained from either Borrowell.com or creditkarma.ca . Both are free to enable you to access your information. You will need to set up a free account on the site to obtain this information. RBC, BMO, CIBC, and Scotiabank all have Credit Score checks with their online banking. When you obtain the Credit Score, please forward a screenshot showing your name and the Credit Score to john@johnjordan.ca .Completing your name as the Co-Applicant in this field is an authorizing signature *Date *Submit Application