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Otherwise leave blank.”,”size”:”medium”,”simple_placeholder”:””,”simple_default”:””,”first_placeholder”:””,”first_default”:””,”middle_placeholder”:””,”middle_default”:””,”last_placeholder”:””,”last_default”:””,”css”:””},”31″:{“id”:”31″,”type”:”text”,”label”:”Date of Birth”,”description”:””,”size”:”medium”,”placeholder”:””,”limit_count”:”1″,”limit_mode”:”characters”,”default_value”:””,”input_mask”:””,”css”:””},”32″:{“id”:”32″,”type”:”select”,”label”:”Gender”,”choices”:{“1”:{“default”:”1″,”label”:”Woman”,”value”:””,”image”:””},”2″:{“label”:”Man”,”value”:””,”image”:””},”3″:{“label”:”Transgender”,”value”:””,”image”:””},”4″:{“label”:”Non-binary\/Non-conforming”,”value”:””,”image”:””},”5″:{“label”:”Prefer not to say”,”value”:””,”image”:””}},”description”:””,”style”:”classic”,”size”:”medium”,”placeholder”:””,”dynamic_choices”:””,”css”:””},”33″:{“id”:”33″,”type”:”text”,”label”:”Relationship to Applicant”,”description”:””,”size”:”medium”,”placeholder”:””,”limit_count”:”1″,”limit_mode”:”characters”,”default_value”:””,”input_mask”:””,”css”:””},”36″:{“id”:”36″,”type”:”select”,”label”:”Do all of the people listed above live with you full time right now”,”choices”:{“1”:{“label”:”Yes”,”value”:””,”image”:””},”2″:{“label”:”No”,”value”:””,”image”:””}},”description”:””,”required”:”1″,”style”:”classic”,”size”:”medium”,”placeholder”:””,”dynamic_choices”:””,”css”:””},”38″:{“id”:”38″,”type”:”textarea”,”label”:”If you answer No to the question above please explain:”,”description”:””,”size”:”medium”,”placeholder”:””,”limit_count”:”1″,”limit_mode”:”characters”,”default_value”:””,”css”:””},”39″:{“id”:”39″,”type”:”select”,”label”:”Do you expect the size of your family to change in the near future?”,”choices”:{“1”:{“label”:”Yes”,”value”:””,”image”:””},”2″:{“label”:”No”,”value”:””,”image”:””}},”description”:””,”required”:”1″,”style”:”classic”,”size”:”medium”,”placeholder”:””,”dynamic_choices”:””,”css”:””},”40″:{“id”:”40″,”type”:”textarea”,”label”:”If you answered Yes to the question above, please explain:”,”description”:””,”size”:”medium”,”placeholder”:””,”limit_count”:”1″,”limit_mode”:”characters”,”default_value”:””,”css”:””},”41″:{“id”:”41″,”type”:”textarea”,”label”:”List 5 reasons why you wish you reside in a housing co-operative, in order of importance:”,”description”:””,”required”:”1″,”size”:”medium”,”placeholder”:””,”limit_count”:”1″,”limit_mode”:”characters”,”default_value”:””,”css”:””},”42″:{“id”:”42″,”type”:”textarea”,”label”:”As a co-operative, we rely on the volunteer participation of our members to maintain our standard of living and keep our housing costs down. Tell us how you intend to contribute to our neighbourhood and\/or how you currently volunteer in your neighbourhood:”,”description”:””,”required”:”1″,”size”:”medium”,”placeholder”:””,”limit_count”:”1″,”limit_mode”:”characters”,”default_value”:””,”css”:””},”43″:{“id”:”43″,”type”:”text”,”label”:”Present Address (if different from above):”,”description”:”Street Address, City, Province, Postal Code”,”required”:”1″,”size”:”medium”,”placeholder”:””,”limit_count”:”1″,”limit_mode”:”characters”,”default_value”:””,”input_mask”:””,”css”:””},”44″:{“id”:”44″,”type”:”text”,”label”:”Landlord’s Name:”,”description”:””,”required”:”1″,”size”:”medium”,”placeholder”:””,”limit_count”:”1″,”limit_mode”:”characters”,”default_value”:””,”input_mask”:””,”css”:””},”45″:{“id”:”45″,”type”:”text”,”label”:”Landlord’s Telephone Number: “,”description”:”*We will not contact your landlord without prior 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Gross Income\r\n\r\nINCLUDE: All Employment Income, Private & Public Pension Funds, Interest on Assets, EI Income, Spousal or Child Support, Rental Income from Real Estate, GAIN for the elderly, disabled, single or families, Workers Compensation, Veteran Pension, Seasonal Employment (Please Average).\r\n\r\nDO NOT INCLUDE: Earnings of children under 19 years of age in regular attendance at a recognized instituion of learning, Child Tax Benefit \/ Universal Child Care Credit, GST Credit, Living Out or Travelling Expenses”,”required”:”1″,”style”:”classic”,”size”:”medium”,”placeholder”:””,”dynamic_choices”:””,”css”:””},”75″:{“id”:”75″,”type”:”select”,”label”:”Do you expect your employment situation to change in the near future?”,”choices”:{“1”:{“label”:”Yes”,”value”:””,”image”:””},”2″:{“label”:”No”,”value”:””,”image”:””}},”description”:””,”required”:”1″,”style”:”classic”,”size”:”medium”,”placeholder”:””,”dynamic_choices”:””,”css”:””},”71″:{“id”:”71″,”type”:”text”,”label”:”If you answered Yes to the above, please explain:”,”description”:””,”size”:”medium”,”placeholder”:””,”limit_count”:”1″,”limit_mode”:”characters”,”default_value”:””,”input_mask”:””,”css”:””},”78″:{“id”:”78″,”type”:”select”,”label”:”To become a member of a co-op you must purchase a share. The share purchase price at Craigflower Co-op is $4000. Can you confirm that if selected to be a member of Craigflower Co-operative Housing that you will be able to pay the $4000 share purchase 30 days prior to possession?”,”choices”:{“1”:{“label”:”Yes”,”value”:””,”image”:””},”2″:{“label”:”No”,”value”:””,”image”:””}},”description”:””,”required”:”1″,”style”:”classic”,”size”:”medium”,”placeholder”:””,”dynamic_choices”:””,”css”:””},”81″:{“id”:”81″,”type”:”select”,”label”:”Do you have any pets?”,”choices”:{“1”:{“label”:”Yes”,”value”:””,”image”:””},”2″:{“label”:”No”,”value”:””,”image”:””}},”description”:”* Members at Craigflower Co-op are permitted to have 2 domestic pets per unit. Pets must be under 30\” in height and less than 50 lbs in weight. Pets must be spayed or neutered. Vaccinations must be up-to-date. “,”required”:”1″,”style”:”classic”,”size”:”medium”,”placeholder”:””,”dynamic_choices”:””,”css”:””},”79″:{“id”:”79″,”type”:”text”,”label”:”If yes, what type of pets (eg: dog, cat) and breed:”,”description”:””,”size”:”medium”,”placeholder”:””,”limit_count”:”1″,”limit_mode”:”characters”,”default_value”:””,”input_mask”:””,”css”:””},”80″:{“id”:”80″,”type”:”select”,”label”:”Is the animal spayed or neutered?”,”choices”:{“1”:{“label”:”Yes”,”value”:””,”image”:””},”2″:{“label”:”No”,”value”:””,”image”:””}},”description”:””,”style”:”classic”,”size”:”medium”,”placeholder”:””,”dynamic_choices”:””,”css”:””},”82″:{“id”:”82″,”type”:”text”,”label”:”What is your pet’s vet clinic, name and address:”,”description”:””,”size”:”medium”,”placeholder”:””,”limit_count”:”1″,”limit_mode”:”characters”,”default_value”:””,”input_mask”:””,”css”:””},”88″:{“id”:”88″,”type”:”select”,”label”:”I\/We understand that this application does not constitute an agreement on the part of Craigflower Co-operative to provide me\/us with accomodation”,”choices”:{“1”:{“label”:”Yes”,”value”:””,”image”:””},”2″:{“label”:”No”,”value”:””,”image”:””}},”description”:””,”style”:”classic”,”size”:”medium”,”placeholder”:””,”dynamic_choices”:””,”css”:””},”89″:{“id”:”89″,”type”:”select”,”label”:”I\/we hereby certify that the information given in this application is true, correct and complete in every respect to the best of my\/own knowledge.”,”choices”:{“1”:{“label”:”Yes”,”value”:””,”image”:””},”2″:{“label”:”No”,”value”:””,”image”:””}},”description”:””,”style”:”classic”,”size”:”medium”,”placeholder”:””,”dynamic_choices”:””,”css”:””},”90″:{“id”:”90″,”type”:”select”,”label”:”I\/We give the co-op permission to verify any or all of this information and to carry out a landlord check and a credit check”,”choices”:{“1”:{“label”:”Yes”,”value”:””,”image”:””},”2″:{“label”:”No”,”value”:””,”image”:””}},”description”:””,”style”:”classic”,”size”:”medium”,”placeholder”:””,”dynamic_choices”:””,”css”:””},”92″:{“id”:”92″,”type”:”select”,”label”:”I\/We agree to contribute at least 5 hours per month to the co-op through participation and agree to participate as part of a committee and attend all general meetings”,”choices”:{“1”:{“label”:”Yes”,”value”:””,”image”:””},”2″:{“label”:”No”,”value”:””,”image”:””}},”description”:””,”style”:”classic”,”size”:”medium”,”placeholder”:””,”dynamic_choices”:””,”css”:””},”94″:{“id”:”94″,”type”:”select”,”label”:”I\/We understand that only qualifying applicants will be contacted for an interview and at that time I\/we will be asked for proof of income”,”choices”:{“1”:{“label”:”Yes”,”value”:””,”image”:””},”2″:{“label”:”No”,”value”:””,”image”:””}},”description”:””,”style”:”classic”,”size”:”medium”,”placeholder”:””,”dynamic_choices”:””,”css”:””}},”id”:”2000″,”field_id”:95,”settings”:{“form_title”:”Blank Form”,”form_desc”:””,”submit_text”:”Submit”,”submit_text_processing”:”Sending…”,”antispam”:”1″,”form_class”:””,”submit_class”:””,”ajax_submit”:”1″,”notification_enable”:”1″,”notifications”:{“1”:{“email”:”{admin_email}”,”subject”:”New Blank Form (ID #2000) Entry”,”sender_name”:”Craigflower Co-op”,”sender_address”:”{admin_email}”,”replyto”:””,”message”:”{all_fields}”}},”confirmations”:{“1”:{“type”:”message”,”message”:”
Thanks for contacting us! We will be in touch with you shortly.<\/p>“,”message_scroll”:”1″,”page”:”2″,”redirect”:””}}},”meta”:{“template”:”blank”}}