AMICAE HOUSING CO-OPERATIVE 1047 Barclay Street Vancouver, BC V6E 4H2 Phone: 604.687.0605 Dear Applicant: Thank you for applying to Amicae Housing Cooperative. There are no vacancies at this time, however, please complete this application and return to Amicae. Your name will be placed on our wait list and we will contact you if you are being considered for a unit. If you would like your application to remain on our files, please send us a letter every six months expressing your continuing interest and any changes to your application regarding income, family size, address and/or telephone number. That way your file stays active and ready should a vacancy come up that suits your needs. If you have any questions regarding your status on our wait-list please write to the Membership Committee at the above address. Please do NOT call the office for wait-list status. A housing cooperative is a group of people working together to enjoy long term affordable housing. Each member has a responsibility to participate in the ongoing care and maintenance of the housing complex. Therefore, please do not look upon Amicae Housing Cooperative as inexpensive housing without commitment. The responsibility of membership is not for everyone. The fact sheet on the reverse side of this letter gives some information on our cooperative. Sincerely, AMICAE HOUSING COOPERATIVE Membership Committee
AMICAE HOUSING CO-OPERATIVE FACT SHEET Amicae Housing Co-operative is a 56 unit family oriented co-operative located in the West End of Downtown Vancouver. Units Available: 14 One Bedroom Apartments 584 Sq. Ft. 21 Two Bedroom Apartments 724 Sq. Ft. 21 Three Bedroom Apartments 863 Sq. Ft. Unit Entitlement: Minimum of one person per bedroom. Maximum of two persons per bedroom Housing Charges: 1 Bedroom Apartment $806 (as of Sept 2011) 2 Bedroom Apartment $1018 3 Bedroom Apartment $1188 Shares: Members are required to buy shares in the co-op. The cost of the shares (between $500 and $1000) depends on the income of the members. Shares must be be paid in full within 10 days of acceptance and prior to moving into the co-operative. Participation: Members are expected to attend ALL general meetings and to participate on committees, the Board of Directors and other activities in service to the co-operative. Pets: Limit of two (2) four-legged pets per household. Pets are the responsibility of the owner and must be neutered/spayed. Dogs must be leashed on co-op property. Cats are not allowed in common areas.
OFFICE USE ONLY Income: Updates: Adults: Children: Personal Information (PLEASE PRINT) Date Received: 1 BD 2 BD 3 BD Accessible: APPLICATION FORM AMICAE HOUSING CO-OPERATIVE 800-1047 Barclay Street, Vancouver, BC V6E 4H2 Applicant s Name: (Last Name) (First Name) Date of Birth: Sex: M F (Month/Year) Current Address: (Apartment No.) Street City/Province Postal Code Telephone: (Home) (Work) Status in Canada: Canadian Citizen Permanent Resident Other Previous Addresses (for last 5 years): 1. 2. 3. Other Adults Residing With You: Name: (Last Name) (First Name) Date of Birth: Relationship: (Month/Year) Names, Birth dates and Sex of Children Residing With You: 1. (M F) (Name) (Birth date) 2. (M F) (Name) (Birth date) 3. (M F) (Name) (Birth date) Amicae Application 2012 Page 1 of 4
Disabilities: Please describe any disabilities of household members: Do you If require possible any please of provide the following: doctor s letter or information regarding nature of disability Do you require any of the following: Live in Attendant: Wheelchair: Grab Bars: Adapted Kitchen: Adapted Bathroom: Others: II. Housing Needs: 1 Bedroom 2 Bedroom 3 Bedroom Parking Space (Yes/No): Pets (Yes/No): Please specify: How Many? III. Housing References (Inquiries to present landlord will not be made without your consent) Consent: Yes No Present Landlord: Previous Landlords: 1. (Date: From/To) 2. (Date: From/To) 3. (Date: From/To) IV. Questionnaire: Itemize any past volunteer work: Have you had experience with co-ops of any kind? Yes No: If yes, explain the good and bad points: Name of Co-op: Telephone No. of a Board member If no, what do you expect to be the good and bad points Do you have any special skills or interests which might be helpful in the running of a housing co-op? If yes, explain: Amicae Application 2012 Page 2 of 4
Which committees would you be prepared to serve on? Finance/Replacement Reserve (Financial aspects Operations & Maintenance (General physical upkeep of the Co-op) and repairs of the Co-op) Membership (interviewing prospective members, Board of Directors (these are elected positions which maintaining member participation, grievance procedures) provide overall coordination of Co-op) Landscape (general upkeep of garden areas) V. Employment Information Applicant s Employment (last five years) (indicate periods, UIC, GAIN or HPIA): 1. 2. 3. Other Adult s Employment (last five years) (indicate periods, UIC, GAIN or HPIA): 1. 2. 3. Amicae Application 2012 Page 3 of 4
I/WE UNDERSTAND THAT MEMBERSHIP IN AMICAE CO-OPERATIVE WILL REQUIRE PARTICIPATION OF A MINIMUM OF 10 HOURS PER MONTH, PER ADULT. ACTIVE PARTICIPATION ON A COMMITTEE OF MY/OUR CHOICE AND ATTENDANCE AT ALL GENERAL MEETINGS IS REQUIRED. I/WE ARE AWARE THAT FAILURE TO DO THIS MAY RESULT IN MY/OUR EXPULSION. I/WE HEREBY ACKNOWLEDGE THAT OUR SIGNATURE ON THIS APPLICATION WILL BE CONSIDERED AS AUTHORIZATION TO MAKE NECESSARY FINANCIAL INQUIRIES. VI. Income Verification Gross Fixed Income Per Year and other Income Per Year (Fill in below): Applicant: Other Adult(s): Children: If you are selected for interview, please provide copies of previous T4 slips or three most recent consecutive pay slips and letter of employment. You must provide $15 non-refundable processing fee for completion of Credit Check. Failure to provide these documents will result in your interview being cancelled. Applicant s Signature: Date: Other Adult s Signature: Date: Any other information about yourself which you may like to provide: Amicae Application 2012 Page 4 of 4