Applicant 1
Please indicate the Application type:*

Date of Birth (DAY)*
Date of Birth (MONTH)*
Date of Birth (YEAR)*
First Name*
Last Name*
Street Address*
Unit/Apartment #
Postal Code*
Phone Number*
Email Address*
Applicant 2
Relationship to Applicant #1
First Name
Last Name
Birthdate (mm/dd/yyyy)
Apartment Information
Preferred Apartment Types (check all that apply)*

Current dwelling*

You will be placed on the 'Active' waitlist, and you will receive an apartment offer when your application is selected in sequence.
Other Contact Information
First Name
Last Name
Phone Number
Email Address
Relationship to Applicant(s)
Please tell us where you first heard about Shepherd Village:*
If other, please specify:
By clicking on the 'Submit' button below I confirm that the information contained in the form above is accurate and true. I agree that my information will be added to a contact list and permit Shepherd Village to contact me via phone, email or CanadaPost for an offer of accommodation or for various other Shepherd Village purposes. I understand that my information will be kept secure and confidential and be used for Shepherd Village purposes only. You will be redirected to a confirmation page.