Friday, December 1st
*denotes required information
Date:
Conducted by:
Mr. Mrs. Ms.
* First Name:
* Last Name:
* Telephone:(Home)
* Email 1:
Email 2:
* Street:
* City:
* Province/State:
* Country:
* Postal Code/Zip:
How long have you lived there?
* Date of Birth: 1 2 3 4 5 6 7 8 9 10 11 12 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 2023 2022 2021 2020 2019 2018 2017 2016 2015 2014 2013 2012 2011 2010 2009 2008 2007 2006 2005 2004 2003 2002 2001 2000 1999 1998 1997 1996 1995 1994 1993 1992 1991 1990 1989 1988 1987 1986 1985 1984 1983 1982 1981 1980 1979 1978 1977 1976 1975 1974 1973 1972 1971 1970 1969 1968 1967 1966 1965 1964 1963 1962 1961 1960 1959 1958 1957 1956 1955 1954 1953 1952 1951 1950 1949 1948 1947 1946 1945 1944 1943 1942 1941 1940 1939 1938 1937 1936 1935 1934 1933 1932 1931 1930 1929 1928 1927 1926 1925 1924
Social Insurance Number:
Name and Branch of Financial Institution:
Credit Card Name:
Credit Card Number:
Mr. Ms.
First Name:
Last Name:
Email:
Relation:
Street:
City:
Province/State:
Country:
Postal Code/Zip:
Date of Birth: 1 2 3 4 5 6 7 8 9 10 11 12 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 2023 2022 2021 2020 2019 2018 2017 2016 2015 2014 2013 2012 2011 2010 2009 2008 2007 2006 2005 2004 2003 2002 2001 2000 1999 1998 1997 1996 1995 1994 1993 1992 1991 1990 1989 1988 1987 1986 1985 1984 1983 1982 1981 1980 1979 1978 1977 1976 1975 1974 1973 1972 1971 1970 1969 1968 1967 1966 1965 1964 1963 1962 1961 1960 1959 1958 1957 1956 1955 1954 1953 1952 1951 1950 1949 1948 1947 1946 1945 1944 1943 1942 1941 1940 1939 1938 1937 1936 1935 1934 1933 1932 1931 1930 1929 1928 1927 1926 1925 1924
Name:
Age:
Sex:
Relationship:
The Guelph Campus Co-op requests the above personal information 1) to maintain the waiting list 2) to determine your eligibility 3) in order to contact you with regard to housing 4) to ascertain your creditworthiness and/or for collection purposes.
Telephone:
* University of Guelph Student Number:
Program:
Expected Date of Completion: 1 2 3 4 5 6 7 8 9 10 11 12 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 2029 2028 2027 2026 2025 2024 2023 2022 2021 2020
* Are you aware that you must move out of the Co-op when you are no longer a student? Yes No
Occupation:
How long have you been employed there?
The Guelph Campus Co-op is collecting the above ‘Rental History’ and ‘Employment/Student Status’ information to determine rental history and creditworthiness of prospective tenants. We may contact the above parties (landlord and/or employer) to collect credit references. As well, the above information may be disclosed to a credit reporting agency.
Please Note: the success of the Co-op depends on the enthusiasm and involvement of its members. The Co-op reserves the right to interview any applicants prior to acceptance to determine their suitability for living in a co-operative environment.
How did you hear about the Guelph Campus Co-operative?
Do you have previous Co-operative experience?
Do you have volunteer experience?
Why do you want to live in the Co-op?
What are your expectations of Co-op life?
What type of accommodation do you desire? please check one/multiple
single room one bedroom apartment two bedroom apartment
When would you like to move in?
How much notice must you give to your current landlord? (i.e. 2 months)
Will you accept a basement unit? Yes No Lodging House Applicants: Will you accept an oversized room, keeping in mind that the rent is higher than for a standard room? Yes No
If you do not want to submit this form electronically, you may download a copy here and fax the application to (519) 824-9235 or you may drop off or mail the application to Guelph Campus Co-operative, 17 College Ave. W. Guelph, ON N1G 1R7. If you need assistance in completing the application, please contact the Guelph Campus Co-op staff at (519) 824-4950 or [email protected]. We'd be happy to help you.
The Guelph Campus Co-op respects and values your privacy and is dedicated to protecting your personal information. This data will be stored in a secure area, and access will be limited to authorized Co-op staff. We will not collect, disclose or use any of this information without your consent. We will strive to keep it as accurate and up-to-date as necessary, and we will safely dispose of it once it is no longer needed.
If you would like a more detailed account of why we are collecting this information, you can access our website at www.guelphcampus.coop. If you have any questions or concerns regarding the information the Co-op has about you, please contact us, in person or in writing, at 17 College Avenue West, Guelph, ON N1G 1R7.
I/We authorize the usage of the personal information given on this application for the reasons detailed throughout the document. I/We certify that, to the best of my/our knowledge and belief, the answers I/we have given and the statements I/we have made are correct.
IMPORTANT NOTE: Because the Co-op only requires 60 days notice, and because there is such a high demand for student housing, we must hear from you within 24 hours of you being contacted by us, or your name will be removed from the list. It is your responsibility to inform us of any changes to your contact information.