Windsor Essex County Housing Application Page 10
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11Can-Am Urban Native Homes Provides
Rent Geared – to – Income Housing for Native Families.
Would you like your application forwarded to Can-Am Urban Native Homes?
Yes
No
If you choose YES, proof of Aboriginal Ancestry will be required to verify
eligibility for RGI housing.
This may include one of the following:
photocopy of Indian Status card
photocopy of Metis Membership card
photocopy of N Number Card for Inuit Ancestry
letter from the affiliated Band Office stating aboriginal ancestry
statement declaring Native Ancestry and, signed by a Notary Public
A Can-Am Urban Native Homes brochure providing further details about this unique
housing program can be obtained at the Central Housing Registry office.
SIGNATURES:
(All household members 16 years of age or older or their approved designate must sign the application form.
This does not include dependent household members)
Relationship
Date
Print Name
Signature
To Applicant
(MM/DD/YY)
Applicant
Co-Applicant
Other Household Member
Other Household Member
Other Household Member
Other Household Member
Guardian / Trustee
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