Rent Geared To Income Housing Application
Programs & Services

Rent Geared To Income Housing Application

Important Information

**Before completing this form, make sure you have read the Housing Eligibility and Criteria.

By filling out this form, you will be added to the YWCA housing waitlist for the rent geared to income housing site(s) you have selected below. The YWCA’s waitlist is used to review applications as units become available. The YWCA will gather updated information on all household members, including income and assets, and may complete additional checks to assess a household’s ability to uphold the obligations of a tenancy agreement. This may include reference checks, personal interviews and/or reviewing information available from public sources such as Court Services Online and police websites. The information is used only to ensure admission to our housing developments does not endanger the safety of other residents. Applicants may be contacted for more information.

Applicants who are offered and accept a unit must sign a tenancy agreement and may be required to sign tenancy agreement addendums that cover topics such as pets, parking, laundry, smoking, crime free housing, etc.

Purpose of this Form

This form collects personal information in accordance with section 26(c) of the Freedom of Information and Protection of Privacy Act. Your personal information is collected for the following purposes, and the YWCA Metro Vancouver will use your information to:

  • determine eligibility; and
  • assess housing need

If you have questions about your privacy, send questions in writing to Lisa Rupert, Vice President, Housing Services & Violence Prevention:


I am applying for housing at (check all that apply):

Applicant Information

Applicant Information

Contact Information

Contact Information
Home Address
Mailing Address
Mailing Address
Email (please provide applicant's personal email address)
A confirmation email will be sent to this address once you have submitted your application form. Please ensure that you submit your personal email address and check your junk/ spam folders if you don’t see it in your inbox.
Home Phone
Cell Phone
Work Phone
Best way and time to reach you? (if anytime, leave blank)

Household Information

a. List all other household members. Use “Add another” to add another household member. Do not include yourself/the applicant.
b. Were you born in canada?
b2. For applicants not born in Canada, please provide the information below:
Sponsored Immigrants Only
c. Do all of the people listed live with you full time right now?

If No, please provide the following information for all persons not living with you full time.

Part-time Household Members
Part-time Household Member
Shared Custody?
e. Do you expect the number of people living with you to change in the next 12 months? (e.g. pregnancy, family joining, family leaving, child in care)
f. (optional) Do you or anyone in your household identify as being an Aboriginal person of Canada?
Note: Question 3f is optional and does not impact eligibility for housing. We do, however, give additional consideration to applicants who have identified as being an Aboriginal person of Canada.
Household Information

Residency History

Residency History
a. Please provide information on where you have lived for the past five years. Use "Add another" to add another address.

Income and Asset Information

Income and Asset Information
a. Please list all income sources, list gross monthly income (before deductions, do not include child tax) for all household members age 19 and older.
If you listed income above for all 19+ aged adults in your household, please skip this question and move onto the next.
c. List the current value of all assets held by you, and by any members of the household. Please include shared assets and/or assets you may not currently have access to.

Current Accommodation

Current Accommodation
a. Do you:
Rent Payment
Rent term
d. Please describe your current living arrangements:
e. Do you have a bathroom?
f. Do you have a kitchen?
g. Have you received a legal notice to end tenancy?
Note: The YWCA may give special consideration to people who are homeless or fleeing violence against women or abuse.

Health and Mobility Information

Health and Mobility Information
a. Do you, or any members of your household, have restrictions with stairs?
b. Do you, or any member of your household, use a:
inside home
If yes, is it used in the bathroom?
If yes, is it used in the kitchen?
c. Other than mobility concerns, do you or any members of your household have a health condition or disability? (Eg. Autism Spectrum Disorder, FASD, ADHD, PTSD)
Disability Member
To assist with matching you to housing that best suits your needs, please complete the following questions. The YWCA may give special consideration to people who have health and mobility issues.

Housing Preferences/Choices

Housing Preferences/Choices
a. Would you live in a ground floor unit?
b. Are you willing to sign a non-smoking agreement?
c. Would you consider housing without parking? (If you are offered a parking space, we will require proof of insurance.)
d. Do you have any pets?
Do you have an assistance dog for medical need?
Provide the following information for all household pets (do not include assistance dogs)
e. Would you live in a wood-frame building? Most of our buildings are wood frame.
f. Are you willing to live in a building where you cannot have a guest stay with you for more than 14 overnights in the calendar year?
g. Are you willing to live in a building where you cannot have any current or future intimate partner live with you, or any family members that are not currently living with you?
h. Are you willing to purchase and maintain the required tenant insurance for the length of your tenancy?
i. Are you connected with any YWCA program?
Answers to the questions below will help the YWCA match you to suitable units.

Application Attachment Section

If you wish to upload a reference letter, Rent it Right, or RentSmart certificate please attach PDF here. Please note that reference letters and certificates are not required. (PDF format only)
One file only.
2 MB limit.
Allowed types: pdf.

Application Form Declaration

Application Form Declaration
  • this is my application; and
  • all the information in it is correct and complete to the best of my knowledge.
  • YWCA Metro Vancouver to make any inquiries that are necessary to verify the information given in this application;
  • any person, corporation or social agency to release to the YWCA any information pertinent to the assessment of my application;
  • members of the YWCA to receive and exchange information with my previous landlords to be used in the decision-making process to provide me with housing; and
  • Ministry of Social Development and Social Innovation to release information to the YWCA regarding my income.
  • that this application is not an agreement on the part of YWCA to provide me with housing;
  • that if I refuse one offer of housing, my application will be cancelled;
  • that if I am being considered for an available unit, housing providers will gather additional information in order to assess my ability to uphold the obligations of a tenancy agreement and it is my responsibility to provide or cause to be provided information requested to assist with this assessment;
  • that it is my responsibility to tell the YWCA of any changes to the information given in this application and to provide any supporting materials required;
  • that false information given by me may result in my application being cancelled from consideration; and
  • that if I have deliberately worsened my current housing situation (e.g., terminated a tenancy for no reason)that my application may not be accepted or my current living situation may not be taken into consideration;
  • that my application is kept on file for 1 year at which time I need to re-apply or contact the YWCA;
  • that I am advised to review the YWCA Housing Eligibility and Criteria and the YWCA Housing’s Frequently Asked Questions and I do understand that the YWCA is not able to consider me for housing if I do not meet the eligibility requirements as outlined under therein.
Fill out this checklist. This will confirm that you understand and agree to the terms of the YWCA Affordable Housing application form: