If you are human, leave this field blank.Page BreakSection OneHW FLESHER HOUSING CO-OPERATIVE – APPLICATION FOR MEMBERSHIP PLEASE COMPLETE ALL SECTIONS OF THE APPLICATION AND PRINT CLEARLY ** The email address is our primary form of communication. If it changes please email us at membership@hwflesher.com.** Legal Name of ApplicantCurrent Address:Unit/Apt: Street: City: Province: Postal Code:ProvinceAlbertaHome Phone Number:Mobile Number: Email Address: Legal Name of Co-Applicant:Current Address:CountryUnited States (US)United Kingdom (UK)CanadaAustralia---AfghanistanÅland IslandsAlbaniaAlgeriaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAmerican SamoaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelauBelizeBeninBermudaBhutanBoliviaBonaire, Saint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBritish Virgin IslandsBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCongo (Brazzaville)Congo (Kinshasa)Cook IslandsCosta RicaCroatiaCubaCuraÇaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqRepublic of IrelandIsle of ManIsraelItalyIvory CoastJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacao S.A.R., ChinaMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNetherlands AntillesNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorwayOmanPakistanPalestinian TerritoryPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalQatarReunionRomaniaRussiaRwandaSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint Martin (French part)Saint Martin (Dutch part)Saint Pierre and MiquelonSaint Vincent and the GrenadinesSan MarinoSão Tomé and PríncipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia/Sandwich IslandsSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUruguayUzbekistanVanuatuVaticanVenezuelaVietnamWallis and FutunaWestern SaharaWestern SamoaYemenZambiaZimbabweCityHome or Work Phone Number:Please list the names of all persons who will be residing in the unit including the applicant and co-applicant. (Name, Birth date {MM/DD/YYYY} and Relationship to the Applicant)Will the no smoking rule be enforced by the residents and your guests? YesNoSpecial requirements (example: no stairs, special needs unit etc.)Please Select the unit size your family requires:1 Bedroom2 Bedrooms3 Bedrooms4 BedroomsPage BreakWhat languages do you speak? Applicant’s Occupation:Place of Employment:Co-applicant’s Occupation:Co-applicant’s Place of Employment:Have you ever lived in a co-op before?Name and location of previous co-op :How did you hear about our co-op?Please list the names of all persons who will be residing in the unit including the applicant and co-applicantDo you own any Pets?YesNoPlease list how many Pet ? Type of pet, Breed And SizeNUMBER OF FAMILY VEHICLES - ONE FREE UNDERGROUND PARKING SPACE PROVIDEDPlease tell us why you would like to live at HW Flesher Housing Co-op:Page Break Section TWO PREVIOUS HOUSING INFORMATION AND PERSONAL REFERENCES H. W. FLESHER HOUSING CO-OP A24- 3545 EAST 43RD AVENUE, VANCOUVER, BC V5R 5X5 APPLICATION INFORMATION FOR POTENTIAL MEMBERS A ONE TIME, NON REFUNDABLE APPLICATION FEE OF $10 MUST BE RECEIVED WITH YOUR APPLICATION Thank you for your interest in HW Flesher Housing Co-op. Living in a housing Co-op means member involvement and sharing your skills with one another. The members of HW Flesher Co-op come from many a variety of cultural, socialeconomic and philosophical experiences. As members of HW Flesher, you are required to attend General Meetings that are held approximately every six (6) weeks and to provide the Co-op with a minimum of 4 hours volunteerism per unit each month. HW Flesher is a non-smoking Co-op; there is no smoking on Co-op property. Anyone wishing to live in our Co-op must first apply to become a member. Please complete all four sections of the attached application and submit all required information with the $10 application fee. Please detach all of Section 4 (please review attached Financial information required of your household as required by our policy and procedures) in a separate and sealed envelope. Your application will be carefully reviewed to determine whether you are eligible for membership. All applicants will be subject to a confidential credit check. If it is determined that you meet our current criteria for membership, you will be asked to meet with members of the Membership Committee for an interview. All family and/or non-family members who will be residing in the Co-op must attend the interview. Applicants accepted for membership must pay a Share Purchase of $1,500 for a one-bedroom unit, $2,000 for a 2-bedroom unit, $2,500 for a three-bedroom, and $3,000 for a four bedroom unit this is payable by money-order or certified cheque within (2) weeks of a unit having been offered and accepted. There is also a one-time, non-refundable $25 Membership Fee. The Share Purchase is refundable on move-out, less any outstanding money which may be owed to the Co-op. Members are required to provide proof of contents insurance prior to move-in. The Membership Committee can supply you with information regarding contents insurance for Co-ops when you meet to sign the lease. If you enjoy volunteering your time and are willing to commit to community living, then please take the time to walk around our beautiful garden Co-op and then fill out a membership application form. Come and see what Co-op living is all about! Current market housing charges and the minimum gross monthly income required to qualify for membership are as follows: Number of Bedrooms Unit Size Housing Charges Gross Monthly Income Share Purchases 1 Bedroom 650 sq ft $896 $3,550 $1500 2 Bedroom 920 sq ft $1122 $4,400 $2000 3 Bedroom 1100 sq ft $1,310 - $1,416 $5,150 - $5,555 $2,500 4 Bedroom 1200 sq ft $1,505 $5,900 $3,000 PLEASE KEEP THIS PAGE FOR YOUR RECORDS AND INFORMATION Your application will stay on file for a year. Thank you again for your interest in HW Flesher Housing Co-operative Membership Committee OUR MISSION STATEMENT HW Flesher is a community of people with shared responsibility for each other, our homes and our neighbourhood. HeadingSelectSelect