Housing application form

Before you can move in, you’ll need to fill out this form. We will contact you if you meet the criteria and we have available rooms. A $50 setup fee and $100 deposit will apply. You will then receive your room offer.

"*" indicates required fields

Preferred arrival date*

Room size*

First name

As it is written on your passport

Last name

Email*

Phone*

Birth date*

What is your country of origin?*

Arrival date in Canada*

Where are you currently living if you have already arrived in Canada and why do you need to move out?*

0 of 300 max characters

Contact in Montreal*

Contact’s phone*

Your primary occupation*

Status in Canada*

Languages understood*

How do you plan to pay for your stay? **

Savings

Work

Parental help

Scholarship

Do you have a physical condition that requires special accommodation?*

0 of 100 max characters

Notes

0 of 300 max characters

CAPTCHA

Housing application form

Want to keep up-to-date on our organization and our activities for immigrants?

Étapes suivantes : Synchronisation d’un module de messagerie

Our partners