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Property Information

Interested Property

First Choice: *

None 303A Alfred St 303B Alfred St 102 Bagot St #2 236 Barrie St #1 236 Barrie St #4 236 Barrie St #2 227 Brock St 227 Brock St #1 179 Earl St 211 1/2 Earl St 254 Earl St 254-1 Earl St 260 Earl St 262 Earl St 337 Earl St 179 Earl St #3 179 Earl St #6 179 Earl St #4 269 Frontenac St 271 Frontenac St 214 Johnson St 363 Johnson St 365 Johnson St 383 Johnson St 385 Johnson St 385A Johnson St 443 Johnson St 515 Johnson St 517 Johnson St 375 Johnson St #4 375 Johnson St #1 375 Johnson St #2 375 Johnson St #3 132 King St E 138 King St E 134 King St E #3 136 King St E #2 136 King St E #1 138 King St E #5 138 King St E #4 134 King St.E # 4 94 Sydenham St 317 University #2 234 University Ave 236 University Ave 238 University Ave 240 University Ave 242 University Ave 313A University Ave 313B University Ave 317 University Ave

Second Choice:

None 303A Alfred St 303B Alfred St 102 Bagot St #2 236 Barrie St #1 236 Barrie St #4 236 Barrie St #2 227 Brock St 227 Brock St #1 179 Earl St 211 1/2 Earl St 254 Earl St 254-1 Earl St 260 Earl St 262 Earl St 337 Earl St 179 Earl St #3 179 Earl St #6 179 Earl St #4 269 Frontenac St 271 Frontenac St 214 Johnson St 363 Johnson St 365 Johnson St 383 Johnson St 385 Johnson St 385A Johnson St 443 Johnson St 515 Johnson St 517 Johnson St 375 Johnson St #4 375 Johnson St #1 375 Johnson St #2 375 Johnson St #3 132 King St E 138 King St E 134 King St E #3 136 King St E #2 136 King St E #1 138 King St E #5 138 King St E #4 134 King St.E # 4 94 Sydenham St 317 University #2 234 University Ave 236 University Ave 238 University Ave 240 University Ave 242 University Ave 313A University Ave 313B University Ave 317 University Ave

Third Choice:

None 303A Alfred St 303B Alfred St 102 Bagot St #2 236 Barrie St #1 236 Barrie St #4 236 Barrie St #2 227 Brock St 227 Brock St #1 179 Earl St 211 1/2 Earl St 254 Earl St 254-1 Earl St 260 Earl St 262 Earl St 337 Earl St 179 Earl St #3 179 Earl St #6 179 Earl St #4 269 Frontenac St 271 Frontenac St 214 Johnson St 363 Johnson St 365 Johnson St 383 Johnson St 385 Johnson St 385A Johnson St 443 Johnson St 515 Johnson St 517 Johnson St 375 Johnson St #4 375 Johnson St #1 375 Johnson St #2 375 Johnson St #3 132 King St E 138 King St E 134 King St E #3 136 King St E #2 136 King St E #1 138 King St E #5 138 King St E #4 134 King St.E # 4 94 Sydenham St 317 University #2 234 University Ave 236 University Ave 238 University Ave 240 University Ave 242 University Ave 313A University Ave 313B University Ave 317 University Ave

Desired Start Date: *

January February March April May June July August September October November December 2009 2010 2011 2012 2013

Expected Tenancy Duration: *

0-4 Months 8 Months 1 Year 2 Years 3 Years 4 Years

Applicant Information

(Required for each Housemate)

How Many Housemates:

1 2 3 4 5 6

Applicant #1

Full Name:

Class Standing:

1st Yr Undergrad 2nd Yr Undergrad 3rd Yr Undergrad 4th Yr Undergrad Graduate Student Medical School Student Law School Student Education Student Other

Gender: *

Male Female

Date of Birth: *

January February March April May June July August September October November December 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 1965 1966 1967 1968 1969 1970 1971 1972 1973 1974 1975 1976 1977 1978 1979 1980 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995

Home Phone: *

Cell Phone:

Email Address: *

Driver's License #:

Social Insurance:

Reference Full Name:

Relationship to Applicant:

Reference Phone:

Reference Email:

Applicant #2

Full Name:

Class Standing:

1st Yr Undergrad 2nd Yr Undergrad 3rd Yr Undergrad 4th Yr Undergrad Graduate Student Medical School Student Law School Student Education Student Other

Gender: *

Male Female

Date of Birth: *

January February March April May June July August September October November December 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 1965 1966 1967 1968 1969 1970 1971 1972 1973 1974 1975 1976 1977 1978 1979 1980 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995

Home Phone: *

Cell Phone:

Email Address: *

Driver's License #:

Social Insurance:

Reference Full Name:

Relationship to Applicant:

Reference Phone:

Reference Email:

Applicant #3

Full Name:

Class Standing:

1st Yr Undergrad 2nd Yr Undergrad 3rd Yr Undergrad 4th Yr Undergrad Graduate Student Medical School Student Law School Student Education Student Other

Gender: *

Male Female

Date of Birth: *

January February March April May June July August September October November December 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 1965 1966 1967 1968 1969 1970 1971 1972 1973 1974 1975 1976 1977 1978 1979 1980 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995

Home Phone: *

Cell Phone:

Email Address: *

Driver's License #:

Social Insurance:

Reference Full Name:

Relationship to Applicant:

Reference Phone:

Reference Email:

Applicant #4

Full Name:

Class Standing:

1st Yr Undergrad 2nd Yr Undergrad 3rd Yr Undergrad 4th Yr Undergrad Graduate Student Medical School Student Law School Student Education Student Other

Gender: *

Male Female

Date of Birth: *

January February March April May June July August September October November December 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 1965 1966 1967 1968 1969 1970 1971 1972 1973 1974 1975 1976 1977 1978 1979 1980 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995

Home Phone: *

Cell Phone:

Email Address: *

Driver's License #:

Social Insurance:

Reference Full Name:

Relationship to Applicant:

Reference Phone:

Reference Email:

Applicant #5

Full Name:

Class Standing:

1st Yr Undergrad 2nd Yr Undergrad 3rd Yr Undergrad 4th Yr Undergrad Graduate Student Medical School Student Law School Student Education Student Other

Gender: *

Male Female

Date of Birth: *

January February March April May June July August September October November December 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 1965 1966 1967 1968 1969 1970 1971 1972 1973 1974 1975 1976 1977 1978 1979 1980 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995

Home Phone: *

Cell Phone:

Email Address: *

Driver's License #:

Social Insurance:

Reference Full Name:

Relationship to Applicant:

Reference Phone:

Reference Email:

Applicant #6

Full Name:

Class Standing:

1st Yr Undergrad 2nd Yr Undergrad 3rd Yr Undergrad 4th Yr Undergrad Graduate Student Medical School Student Law School Student Education Student Other

Gender: *

Male Female

Date of Birth: *

January February March April May June July August September October November December 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 1965 1966 1967 1968 1969 1970 1971 1972 1973 1974 1975 1976 1977 1978 1979 1980 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995

Home Phone: *

Cell Phone:

Email Address: *

Driver's License #:

Social Insurance:

Reference Full Name:

Relationship to Applicant:

Reference Phone:

Reference Email:

Feedback

Please rate the following factors when choosing a home: (1 is the highest)

Price:

1 2 3 4

Area:

1 2 3 4

Design:

1 2 3 4

Amenities:

1 2 3 4

How did you first hear about HIGHPOINT:

Our Website Kijiji Google Queen's Accomodation Someone you know Other

Other:

When did you start looking?

Today This Week Last Week 2 Weeks Ago A Month Ago

How many homes had you viewed before choosing this one?

0 0-5 5-10 10+

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