{"id":84,"date":"2018-08-22T19:49:48","date_gmt":"2018-08-22T19:49:48","guid":{"rendered":"https:\/\/nehp.ca\/wordpress\/?page_id=84"},"modified":"2018-08-27T20:35:37","modified_gmt":"2018-08-27T20:35:37","slug":"online-housing-application","status":"publish","type":"page","link":"https:\/\/nehp.ca\/wordpress\/online-housing-application\/","title":{"rendered":"Online Housing Application"},"content":{"rendered":"<div class=\"wpforms-container wpforms-container-full\" id=\"wpforms-87\"><form id=\"wpforms-form-87\" class=\"wpforms-validate wpforms-form\" data-formid=\"87\" method=\"post\" enctype=\"multipart\/form-data\" action=\"\/wordpress\/wp-json\/wp\/v2\/pages\/84\" data-token=\"50553fe8a82de0b10fe81a032bab0d25\" data-token-time=\"1776878324\"><noscript class=\"wpforms-error-noscript\">Please enable JavaScript in your browser to complete this form.<\/noscript><div class=\"wpforms-field-container\"><div id=\"wpforms-87-field_41-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"41\"><label class=\"wpforms-field-label\" for=\"wpforms-87-field_41\">Where\/Who did you hear about NEHP Housing from? <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-87-field_41\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][41]\" required><\/div><div id=\"wpforms-87-field_33-container\" class=\"wpforms-field wpforms-field-name\" data-field-id=\"33\"><label class=\"wpforms-field-label\">Applicant&#039;s Name <span class=\"wpforms-required-label\">*<\/span><\/label><div class=\"wpforms-field-row wpforms-field-medium\"><div class=\"wpforms-field-row-block wpforms-first wpforms-one-half\"><input type=\"text\" id=\"wpforms-87-field_33\" class=\"wpforms-field-name-first wpforms-field-required\" name=\"wpforms[fields][33][first]\" required><label for=\"wpforms-87-field_33\" class=\"wpforms-field-sublabel after\">First<\/label><\/div><div class=\"wpforms-field-row-block wpforms-one-half\"><input type=\"text\" id=\"wpforms-87-field_33-last\" class=\"wpforms-field-name-last wpforms-field-required\" name=\"wpforms[fields][33][last]\" required><label for=\"wpforms-87-field_33-last\" class=\"wpforms-field-sublabel after\">Last<\/label><\/div><\/div><\/div><div id=\"wpforms-87-field_3-container\" class=\"wpforms-field wpforms-field-number\" data-field-id=\"3\"><label class=\"wpforms-field-label\" for=\"wpforms-87-field_3\">Phone # <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"number\" id=\"wpforms-87-field_3\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][3]\" step=\"any\" required><div class=\"wpforms-field-description\">Please do not include any spaces or hyphens<\/div><\/div><div id=\"wpforms-87-field_4-container\" class=\"wpforms-field wpforms-field-email\" data-field-id=\"4\"><label class=\"wpforms-field-label\" for=\"wpforms-87-field_4\">Email <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"email\" id=\"wpforms-87-field_4\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][4]\" spellcheck=\"false\" required><\/div><div id=\"wpforms-87-field_34-container\" class=\"wpforms-field wpforms-field-name\" data-field-id=\"34\"><label class=\"wpforms-field-label\">Co-Applicant&#039;s Name<\/label><div class=\"wpforms-field-row wpforms-field-medium\"><div class=\"wpforms-field-row-block wpforms-first wpforms-one-half\"><input type=\"text\" id=\"wpforms-87-field_34\" class=\"wpforms-field-name-first\" name=\"wpforms[fields][34][first]\" ><label for=\"wpforms-87-field_34\" class=\"wpforms-field-sublabel after\">First<\/label><\/div><div class=\"wpforms-field-row-block wpforms-one-half\"><input type=\"text\" id=\"wpforms-87-field_34-last\" class=\"wpforms-field-name-last\" name=\"wpforms[fields][34][last]\" ><label for=\"wpforms-87-field_34-last\" class=\"wpforms-field-sublabel after\">Last<\/label><\/div><\/div><\/div><div id=\"wpforms-87-field_6-container\" class=\"wpforms-field wpforms-field-number\" data-field-id=\"6\"><label class=\"wpforms-field-label\" for=\"wpforms-87-field_6\">Co-Applicant&#039;s Phone Number<\/label><input type=\"number\" id=\"wpforms-87-field_6\" class=\"wpforms-field-medium\" name=\"wpforms[fields][6]\" step=\"any\" ><div class=\"wpforms-field-description\">Please do not include any spaces or hyphens<\/div><\/div><div id=\"wpforms-87-field_7-container\" class=\"wpforms-field wpforms-field-email\" data-field-id=\"7\"><label class=\"wpforms-field-label\" for=\"wpforms-87-field_7\">Co-Applicant&#039;s Email<\/label><input type=\"email\" id=\"wpforms-87-field_7\" class=\"wpforms-field-medium\" name=\"wpforms[fields][7]\" spellcheck=\"false\" ><\/div><div id=\"wpforms-87-field_8-container\" class=\"wpforms-field wpforms-field-select wpforms-field-select-style-classic\" data-field-id=\"8\"><label class=\"wpforms-field-label\" for=\"wpforms-87-field_8\">How many Adults do you require housing for? (Including yourself) <span class=\"wpforms-required-label\">*<\/span><\/label><select id=\"wpforms-87-field_8\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][8]\" required=\"required\"><option value=\"1\"  class=\"choice-1 depth-1\"  >1<\/option><option value=\"2\"  class=\"choice-2 depth-1\"  >2<\/option><option value=\"3\"  class=\"choice-3 depth-1\"  >3<\/option><option value=\"4\"  class=\"choice-4 depth-1\"  >4<\/option><option value=\"5\"  class=\"choice-5 depth-1\"  >5<\/option><\/select><\/div><div id=\"wpforms-87-field_10-container\" class=\"wpforms-field wpforms-field-select wpforms-field-select-style-classic\" data-field-id=\"10\"><label class=\"wpforms-field-label\" for=\"wpforms-87-field_10\">How many Children will be living there? <span class=\"wpforms-required-label\">*<\/span><\/label><select id=\"wpforms-87-field_10\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][10]\" required=\"required\"><option value=\"0\"  class=\"choice-6 depth-1\"  >0<\/option><option value=\"1\"  class=\"choice-1 depth-1\"  >1<\/option><option value=\"2\"  class=\"choice-2 depth-1\"  >2<\/option><option value=\"3\"  class=\"choice-3 depth-1\"  >3<\/option><option value=\"4\"  class=\"choice-4 depth-1\"  >4<\/option><option value=\"5\"  class=\"choice-5 depth-1\"  >5<\/option><\/select><\/div><div id=\"wpforms-87-field_11-container\" class=\"wpforms-field wpforms-field-select wpforms-field-select-style-classic\" data-field-id=\"11\"><label class=\"wpforms-field-label\" for=\"wpforms-87-field_11\">Do you require Subsidized Housing? <span class=\"wpforms-required-label\">*<\/span><\/label><select id=\"wpforms-87-field_11\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][11]\" required=\"required\"><option value=\"No\"  class=\"choice-1 depth-1\"  >No<\/option><option value=\"Yes\"  class=\"choice-2 depth-1\"  >Yes<\/option><option value=\"Would prefer but not required\"  class=\"choice-3 depth-1\"  >Would prefer but not required<\/option><\/select><\/div><div id=\"wpforms-87-field_12-container\" class=\"wpforms-field wpforms-field-select wpforms-field-select-style-classic\" data-field-id=\"12\"><label class=\"wpforms-field-label\" for=\"wpforms-87-field_12\">Is anyone living with you disabled? <span class=\"wpforms-required-label\">*<\/span><\/label><select id=\"wpforms-87-field_12\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][12]\" required=\"required\"><option value=\"No\"  class=\"choice-1 depth-1\"  >No<\/option><option value=\"Yes\"  class=\"choice-2 depth-1\"  >Yes<\/option><\/select><\/div><div id=\"wpforms-87-field_13-container\" class=\"wpforms-field wpforms-field-select wpforms-field-select-style-classic\" data-field-id=\"13\"><label class=\"wpforms-field-label\" for=\"wpforms-87-field_13\">Is anyone living with you a Senior Citizen? <span class=\"wpforms-required-label\">*<\/span><\/label><select id=\"wpforms-87-field_13\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][13]\" required=\"required\"><option value=\"No\"  class=\"choice-1 depth-1\"  >No<\/option><option value=\"Yes\"  class=\"choice-2 depth-1\"  >Yes<\/option><\/select><\/div><div id=\"wpforms-87-field_15-container\" class=\"wpforms-field wpforms-field-checkbox\" data-field-id=\"15\"><label class=\"wpforms-field-label\">Source(s) of Income <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-87-field_15\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-87-field_15_1\" name=\"wpforms[fields][15][]\" value=\"Working or Self Employed\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-87-field_15_1\">Working or Self Employed<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"checkbox\" id=\"wpforms-87-field_15_2\" name=\"wpforms[fields][15][]\" value=\"On Social Assistance\/EIA\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-87-field_15_2\">On Social Assistance\/EIA<\/label><\/li><li class=\"choice-3 depth-1\"><input type=\"checkbox\" id=\"wpforms-87-field_15_3\" name=\"wpforms[fields][15][]\" value=\"On Student Assistance\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-87-field_15_3\">On Student Assistance<\/label><\/li><li class=\"choice-4 depth-1\"><input type=\"checkbox\" id=\"wpforms-87-field_15_4\" name=\"wpforms[fields][15][]\" value=\"Pensioner\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-87-field_15_4\">Pensioner<\/label><\/li><li class=\"choice-5 depth-1\"><input type=\"checkbox\" id=\"wpforms-87-field_15_5\" name=\"wpforms[fields][15][]\" value=\"Other\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-87-field_15_5\">Other<\/label><\/li><\/ul><\/div><div id=\"wpforms-87-field_16-container\" class=\"wpforms-field wpforms-field-select wpforms-field-select-style-classic\" data-field-id=\"16\"><label class=\"wpforms-field-label\" for=\"wpforms-87-field_16\">Annual Household Income (Everyone&#039;s income combined) <span class=\"wpforms-required-label\">*<\/span><\/label><select id=\"wpforms-87-field_16\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][16]\" required=\"required\"><option value=\"Under $20,000\"  class=\"choice-1 depth-1\"  >Under $20,000<\/option><option value=\"$20,000 - $35,000\"  class=\"choice-2 depth-1\"  >$20,000 - $35,000<\/option><option value=\"$35,000 - $50,000\"  class=\"choice-3 depth-1\"  >$35,000 - $50,000<\/option><option value=\"$50,000 +\"  class=\"choice-4 depth-1\"  >$50,000 +<\/option><\/select><\/div><div id=\"wpforms-87-field_17-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"17\"><label class=\"wpforms-field-label\" for=\"wpforms-87-field_17\">Current Address <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-87-field_17\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][17]\" required><\/div><div id=\"wpforms-87-field_18-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"18\"><label class=\"wpforms-field-label\" for=\"wpforms-87-field_18\">Current Landlord <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-87-field_18\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][18]\" required><\/div><div id=\"wpforms-87-field_21-container\" class=\"wpforms-field wpforms-field-number\" data-field-id=\"21\"><label class=\"wpforms-field-label\" for=\"wpforms-87-field_21\">Current Landlord&#039;s Phone # <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"number\" id=\"wpforms-87-field_21\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][21]\" step=\"any\" required><\/div><div id=\"wpforms-87-field_19-container\" class=\"wpforms-field wpforms-field-select wpforms-field-select-style-classic\" data-field-id=\"19\"><label class=\"wpforms-field-label\" for=\"wpforms-87-field_19\">How long at this address? <span class=\"wpforms-required-label\">*<\/span><\/label><select id=\"wpforms-87-field_19\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][19]\" required=\"required\"><option value=\"Less than a year\"  class=\"choice-1 depth-1\"  >Less than a year<\/option><option value=\"1+ Years\"  class=\"choice-2 depth-1\"  >1+ Years<\/option><option value=\"2+ Years\"  class=\"choice-3 depth-1\"  >2+ Years<\/option><option value=\"3+ Years\"  class=\"choice-4 depth-1\"  >3+ Years<\/option><option value=\"4+ Years\"  class=\"choice-5 depth-1\"  >4+ Years<\/option><option value=\"5+ Years\"  class=\"choice-6 depth-1\"  >5+ Years<\/option><\/select><\/div><div id=\"wpforms-87-field_27-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"27\"><label class=\"wpforms-field-label\" for=\"wpforms-87-field_27\">Reason for Leaving Current Address? <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-87-field_27\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][27]\" required><\/div><div id=\"wpforms-87-field_23-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"23\"><label class=\"wpforms-field-label\" for=\"wpforms-87-field_23\">Past Address you lived at?<\/label><input type=\"text\" id=\"wpforms-87-field_23\" class=\"wpforms-field-medium\" name=\"wpforms[fields][23]\" ><div class=\"wpforms-field-description\">The last address you lived at<\/div><\/div><div id=\"wpforms-87-field_24-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"24\"><label class=\"wpforms-field-label\" for=\"wpforms-87-field_24\">Past Landlord at that address?<\/label><input type=\"text\" id=\"wpforms-87-field_24\" class=\"wpforms-field-medium\" name=\"wpforms[fields][24]\" ><div class=\"wpforms-field-description\">The last landlord you had<\/div><\/div><div id=\"wpforms-87-field_26-container\" class=\"wpforms-field wpforms-field-select wpforms-field-select-style-classic\" data-field-id=\"26\"><label class=\"wpforms-field-label\" for=\"wpforms-87-field_26\">How long at this past address? <\/label><select id=\"wpforms-87-field_26\" class=\"wpforms-field-medium\" name=\"wpforms[fields][26]\"><option value=\"Less than a year\"  class=\"choice-1 depth-1\"  >Less than a year<\/option><option value=\"1+ Years\"  class=\"choice-2 depth-1\"  >1+ Years<\/option><option value=\"2+ Years\"  class=\"choice-3 depth-1\"  >2+ Years<\/option><option value=\"3+ Years\"  class=\"choice-4 depth-1\"  >3+ Years<\/option><option value=\"4+ Years\"  class=\"choice-5 depth-1\"  >4+ Years<\/option><option value=\"5+ Years\"  class=\"choice-6 depth-1\"  >5+ Years<\/option><\/select><\/div><div id=\"wpforms-87-field_22-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"22\"><label class=\"wpforms-field-label\" for=\"wpforms-87-field_22\">Reason for Leaving<\/label><input type=\"text\" id=\"wpforms-87-field_22\" class=\"wpforms-field-medium\" name=\"wpforms[fields][22]\" ><div class=\"wpforms-field-description\">Reason for leaving your last address<\/div><\/div><div id=\"wpforms-87-field_28-container\" class=\"wpforms-field wpforms-field-select wpforms-field-select-style-classic\" data-field-id=\"28\"><label class=\"wpforms-field-label\" for=\"wpforms-87-field_28\">Have you filled out last  year&#039;s income taxes? <span class=\"wpforms-required-label\">*<\/span><\/label><select id=\"wpforms-87-field_28\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][28]\" required=\"required\"><option value=\"No\"  class=\"choice-1 depth-1\"  >No<\/option><option value=\"Yes\"  class=\"choice-2 depth-1\"  >Yes<\/option><\/select><div class=\"wpforms-field-description\">In order to apply for rental subsidies you have to have your current income taxes filed.<\/div><\/div><div id=\"wpforms-87-field_40-container\" class=\"wpforms-field wpforms-field-select wpforms-field-select-style-classic\" data-field-id=\"40\"><label class=\"wpforms-field-label\" for=\"wpforms-87-field_40\">*optional* Are any applicants; Status, Non-Status or Metis ?<\/label><select id=\"wpforms-87-field_40\" class=\"wpforms-field-medium\" name=\"wpforms[fields][40]\"><option value=\"Status\"  class=\"choice-1 depth-1\"  >Status<\/option><option value=\"Non-Status\"  class=\"choice-4 depth-1\"  >Non-Status<\/option><option value=\"Metis\"  class=\"choice-2 depth-1\"  >Metis<\/option><option value=\"Neither\"  class=\"choice-3 depth-1\"  >Neither<\/option><\/select><\/div><div id=\"wpforms-87-field_31-container\" class=\"wpforms-field wpforms-field-textarea\" data-field-id=\"31\"><label class=\"wpforms-field-label\" for=\"wpforms-87-field_31\">Applicant&#039;s Declaration (Please make your mark in the box below to accept these terms and conditions.) <span class=\"wpforms-required-label\">*<\/span><\/label><textarea id=\"wpforms-87-field_31\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][31]\" required><\/textarea><div class=\"wpforms-field-description\">I \/ We hereby declare that the foregoing information is true and complete. I\/ We understand that any false information may result in refusal of my \/ our application. I\/ We hereby consent to a credit check and persons investigation. \r\n\r\n*Please make your mark above that you understand and accept these terms and conditions in order to process your application. You may make your mark by typing your name.<\/div><\/div><\/div><!-- .wpforms-field-container --><div class=\"wpforms-field wpforms-field-hp\"><label for=\"wpforms-87-field-hp\" class=\"wpforms-field-label\">Website<\/label><input type=\"text\" name=\"wpforms[hp]\" id=\"wpforms-87-field-hp\" class=\"wpforms-field-medium\"><\/div><div class=\"wpforms-submit-container\" ><input type=\"hidden\" name=\"wpforms[id]\" value=\"87\"><input type=\"hidden\" name=\"page_title\" value=\"\"><input type=\"hidden\" name=\"page_url\" value=\"https:\/\/nehp.ca\/wordpress\/wp-json\/wp\/v2\/pages\/84\"><input type=\"hidden\" name=\"url_referer\" value=\"\"><button type=\"submit\" name=\"wpforms[submit]\" id=\"wpforms-submit-87\" class=\"wpforms-submit\" data-alt-text=\"Sending...\" data-submit-text=\"Submit\" aria-live=\"assertive\" value=\"wpforms-submit\">Submit<\/button><\/div><\/form><\/div>  <!-- .wpforms-container -->\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":2,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"bgseo_title":"","bgseo_description":"","bgseo_robots_index":"","bgseo_robots_follow":"","footnotes":""},"class_list":["post-84","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/nehp.ca\/wordpress\/wp-json\/wp\/v2\/pages\/84","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/nehp.ca\/wordpress\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/nehp.ca\/wordpress\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/nehp.ca\/wordpress\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/nehp.ca\/wordpress\/wp-json\/wp\/v2\/comments?post=84"}],"version-history":[{"count":2,"href":"https:\/\/nehp.ca\/wordpress\/wp-json\/wp\/v2\/pages\/84\/revisions"}],"predecessor-version":[{"id":88,"href":"https:\/\/nehp.ca\/wordpress\/wp-json\/wp\/v2\/pages\/84\/revisions\/88"}],"wp:attachment":[{"href":"https:\/\/nehp.ca\/wordpress\/wp-json\/wp\/v2\/media?parent=84"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}