Pre-Application Form

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New Member Pre-Application Form

This form is used for prospective members of the Grove Seniors Village Housing Cooperative to indicate an expression of interest in joining our community and taking up residence in the Village.

By submitting this form, you are choosing to begin the process of learning about the Village, its homes and resources, the benefits and responsibilities of membership and taking the first step in joining our community of active, involved seniors.

We are not a care facility or a traditional home for the aged. We are a highly motivated group of folks with a lifetime record of community involvement and volunteerism who have chosen to live and work together to build our caring, affordable and comfortable village.

Applicant Information First Name:

Initial:

Last Name:

Date of Birth:

Canadian Citizen: Yes
No

Home Phone:

Cell Phone:

Email Address:

Co-Applicant (Spouse) Information First Name:

Initial:

Last Name:

Date of Birth: