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Housing Preferences

Have you or co-applicant ever rented a home with Silver Sage?
(if you owe you will be responsible to pay balance before being housed)
Preferred City

Applicant Information

MM slash DD slash YYYY
Add Co-Applicant?
Co-Applicant
Co-Applicant
MM slash DD slash YYYY
Co-Applicant

Contact Information

Use a different mailing address?
Mailing
Mailing
Mailing

Emergency Contact

Household Information

List all other household members that will be residing with.
Household members
Last Name
First Name
Relationship
DOB: MM/DD/YY
Age
Gender
 
Use the + button to add household members.
Are you expecting the number of people living with you to change within 12 months?

Status

Do you or anyone in your household identify as being an Indigenous person?
If yes, please select
If First Nation please provide your First Nation Band & Status Number(s) for everyone:
Name
Band
Treaty Number
 

Additional Information

For all other income, list gross monthly income (before deductions) for tenants 18 years & older.
First and Last Name
Gross Monthly (Employment, El, Pension, etc.)
Income Source ($)
 
If any 18 or older is a full-time student, attach letter of funding to application.
PETS ARE NOT ALLOWED AT OUR SWIFT CURRENT LOCATIONS AND PARK STREET LOCATION IN REGINA
Can you maintain a yard?
If yes, do you have tools to maintain a yard?

Residency History & References

Please provide information on your last two landlords.
First Landlord
(street, city)
MM slash DD slash YYYY
MM slash DD slash YYYY
Second Landlord
(street, city)
MM slash DD slash YYYY
MM slash DD slash YYYY

Documents

No Application will be processed without the following information
Please attach the following documents by dragging the files to the Files section below.
Drop files here or
Accepted file types: jpg, png, pdf, Max. file size: 5 MB, Max. files: 20.

    Signature

    Please note, after 2nd offer of a unit is refused, your application will be cancelled and you will have to reapply.
    I declare that the information given by me/us to be complete and correct. I understand that this application/personal statement does not constitute or guarantee acceptance as a Tenant of Silver Sage’s Housing Corporation
    Clear Signature
    Clear Signature

    Contact Silver Sage

    4200 Dewdney Avenue
    Regina, SK S4T 1A7

    • [email protected]
    • (306) 721-2909
    Linkedin

    Emergency support

    Call or text 211 to connect with Service Navigators, available 24/7 to connect you with community, social, non-clinical health, and government services.

    Visit the 211 Saskatchewan website

    © 2025 Silver Sage

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