SOJOURN HOUSING CO-OPERATIVE 1763 Nelson Street, Vancouver, BC V6G 1M6 Location and Size of Building A six storey building with 30 units, situated in the West End on the north side of Nelson Street between Denman and Bidwell Streets Size of Units and Current Housing Charges 12 one-bedroom units (4 are wheelchair accessible). 650 sq.ft. - housing charges are $812/$833 per month 4 small two-bedroom units. 650 sq.ft. - housing charges are $929 per month 11 large two-bedroom units (4 are wheelchair accessible). 850-950 sq.ft. - housing charges are $1090 per month 3 three-bedroom units. 940-1225 sq.ft. - housing charges are $1268 per month Share Purchase Share purchase (principal member $1,500 / associate member $10)must be paid in full at the time of acceptance as a Co-op member Housing Charges Cover Mortgage principal, interest, taxes, maintenance of building and facilities, common area electricity, hot water, insurance on common areas, enterphone and replacement reserve Members Pay For Telephone, cablevision, household electricity including electric heat and compulsory liability occupant insurance Amenities Hot water provided by centrally-located, gas-fired water tanks Stove, refrigerator/freezer, wall-to-wall carpeting Electric heating, double-glazed windows All units have balconies or patios Low-cost coin-operated laundry facilities Furnished 6th floor common space with outdoor patio and indoor fireplace Limited, secure underground parking Storage room in every unit and secure common storage locker in parkade Limited, secured bicycle storage space Building Maintenance Building cleaning and routine maintenance are the responsibility of all occupants of the Co-op. All members must be active on a committee. Pets Domestic pets are welcomed Updated October 2008 Proud residents of the West End since 1983
APPLICATION FOR MEMBERSHIP SOJOURN HOUSING COOPERATIVE 1763 Nelson Street, Vancouver, BC, V6G 1M6 2 1. Applicant for Principal Membership Date: Last Name: First Name: Age: 19-30 31-40 41-50 51-60 61-70 over 70 Address (including postal code): Phone (home): Phone (work): Email: 2. Co-applicant for Associate Membership (Associate member is required to purchase one non-refundable share and resides with the Principal Member. In the case of death or withdrawal of the Principal Member an Associate Member is no longer entitled to occupy the unit but can apply to become a Principal Member.) Last Name: First Name: Age: 19-30 31-40 41-50 51-60 61-70 over 70 Address (including postal code): Phone (home): Phone (work): Email: Relationship to applicant: 3. Other household members Last Name First Name Date of Birth Relationship to Applicant
3 4. Unit Do you have friends or relatives living in Sojourn Housing Co-op? Yes No If yes, please provide his/her name(s): Please indicate whether you anticipate any significant changes to your household size or income during the next year: Yes No If yes, please explain. What size unit do you require? 1 bedroom 2 bedroom 3 bedroom Do you require a wheelchair accessible unit? No Yes 5. Housing Background How long have you lived at your current address? Current rent or housing charges $ If you have lived there less than 2 years, please give your previous address. Name of current Landlord: Phone: Are you currently living in a Co-op? No Yes If yes, please provide the name of your Co-op: Co-op President s Name: Phone: 6. Parking Do you require parking? Yes No 7. Pet Policy The co-op has a pet policy. Do you have any pets? No Yes If so, how many? What kind?
4 8. Co-op Expectations & Requirements PARTICIPATION: In accordance with the structure of co-op living and the Occupancy Agreement of Sojourn, all co-op members are required to serve on committees, attend monthly general meetings, attend annual board/membership meetings, participate in work parties, provide assistance in running the Coop and maintenance of the building (work roster). This typically means a minimum of 2 hours of work per week for each occupant. Please indicate the type of committee work you would like to do: Membership Maintenance Finance Social Board of Directors Lawn and garden Re-decoration Odd jobs Other (please specify) Skills, hobbies, work and volunteer experience: (please describe how your experiences would benefit the Co-op) Explain why you want to live in a housing co-op:
INCOME DECLARATION 5 SOJOURN HOUSING COOPERATIVE 1763 Nelson Street, Vancouver, B. C. V6G 1M6 Applications will be considered only when all financial information is complete. Should you be considered for membership, you will be asked to provide supporting documentation for declared incomes. Please DO NOT attach statements of income to this form. Housing charges are set at fair market value. The share purchase price is $1500. Applicant s Last Name: First Name: Applicant s Employer or source of income (for example, GAIN, CPP, OAS): Address of Applicant s Employer: Type of Work: Number of years employed: Gross Annual Income from Employment: $ Other income: $ Co-Applicant s Last Name: First Name: Co-Applicant s Employer or source of income (for example, GAIN, CPP, OAS) Address of Co-applicant s Employer: Type of Work: Number of years employed: Gross Annual Income from Employment: Other income: $
Signatures 6 I/We understand that only the Members of Sojourn Housing Co-operative may live in the Co-op and I/we apply for membership, as set out below. I/We declare that all the information in this application is correct. I/We give the Co-op permission to verify any or all of this information, and to do a landlord check and a credit check. I/We understand that a criterion for acceptance for membership depends on the Co-op obtaining satisfactory results from a credit check. I/We agree to provide our dates of birth for that purpose when needed. I/We agree to sign the Subscription Agreement and pay the Share Purchase of $1500 in full at the date of acceptance as a member(s). Principal member share purchase is $1500 and Associate member share purchase is $10. (Payable by cheque). I/We understand that Sojourn Housing Co-operative does not consider any housing charge subsidy at the moment. Signatures of ALL household members who are at least 19 years of age Applicant: Name Signature: (please print) Co-Applicant: Name Signature: (please print) Other: Name Signature: (please print) Other: Name Signature: (please print) Date: PLEASE NOTE: The filing of your application for membership provides neither an approval of membership nor a housing unit in Sojourn Housing Co-operative. However, your information will assist us to assess you for membership should there be a vacancy that suits your housing needs. It is the responsibility of the applicant to notify the Co-op immediately of any changes to the information provided. This application will be valid for 12 months from the date the application is signed, after which time YOU MUST INFORM THE CO-OP IN WRITING OF BOTH YOUR CONTINUED INTEREST TO REMAIN ON THE WAITING LIST AND OF ANY CHANGES OR ADDITIONS TO YOUR ORIGINAL APPLICATION. Please return your completed application to: Membership Committee, Sojourn Housing Cooperative, 1763 Nelson Street, Vancouver B.C. V6G 1M6
7 Personal Information Protection Statement I agree that Sojourn Housing Co-operative may keep the following information about me: 1. financial information based on household income 2. financial information yearly to set housing charges based on household income 3. eligibility information to qualify for the supplementary Home Owner Grant 4. co-op census information, including a record of all residents in each unit for security 5. relationship of co-applicant to applicant, date of birth of applicant and all future occupants 6. date of birth for purposes of conducting a credit check and reporting unpaid debts to a collection agency or credit bureau 7. whether I meet the age requirements for membership as set out in the Co-op s Rules I agree that this personal information may be made available to people in the following positions: 1. co-op auditor 2. employees of Canada Mortgage and Housing Corporation (CMHC) 3. municipal employees dealing with the Home Owner Grant (for grant application) 4. co-op lawyer 5. security committee (for co-op census information) 6. designated staff who have designated official duties for: applications for membership: Membership Committee income review and setting housing charges: Finance Committee collecting signatures for the application for Home Owner Grant: Finance Committee collecting co-op census information: Maintenance Committee credit checks: Finance Committee landlord and other reference checks: Membership Committee maintaining secure filing and storage of personal information (both hard copy and computer): Membership and Finance Committees
7. board of directors only if it is in connection with the Board s official duties 8 8. credit check agency (for credit check only when you first applied for membership) 9. general meeting only if it is relevant to an appeal I make of a board decision 10. Personal Information Protection officers(s) I understand that Sojourn Housing Co-operative will use the information to: 1. contact me about this application 2. determine my eligibility for housing and membership in the Co-op 3. establish the size of unit for my household, based on co-op occupancy standards 4. calculate my housing charges yearly, if necessary 5. determine my eligibility for supplementary Home Owner Grant 6. ensure safe evacuation of all my household members in case of emergency 7. conduct a credit check prior to my acceptance as a co-op member 8. comply with the co-op s operating agreement or program rules with CMHC 9. decide on requests for an internal move I understand that the Co-op will destroy personal information that it no longer needs: o accepted member s application, credit check & income documents destroyed 18 months after move in o unaccepted applicant s credit check destroyed after the application denied o inactive applicant s application destroyed after 1 year o credit check permission forms and member s housing charge calculation documents destroyed after 7 years I have read and received a copy of this statement. ALL members of the household 19 years of age and older must sign this statement. Signed: Signed: Signed: Signed: Date: Date: Date: Date:
9 CO-OP USE ONLY Date of interview: Time: Unit#: Notes: Revised: September17,2008