Rental Housing for Staff Application Form

Please complete this form to apply for occupancy to SickKids’ rental housing for the staff, the Alan Brown Building.

Note: The personal information contained on this form is collected in accordance with the Freedom of Information and Protection of Privacy Act, for the processing of your application for occupancy. Questions about this collection can be directed to Maureen Herman.

Alan Brown Building - Application for occupancy

First name of employee

Middle name of employee

Last name of employee

Street Address

City

Province/State

Country

Postal/Zip Code

Phone Number

Email address

Position at SickKids

Department

Apartment Preference

Select your first choice for apartment type

Select your second choice for apartment type

Select your third choice for apartment type

Occupancy duration

Select your requested move-in date

Select your requested move-out date

Other occupants

Parking information

Do you require a parking spot? Yes No

Make of car

License plate number

I authorize The Hospital for Sick Children (SickKids) to carry out any necessary credit and reference checks including the examination of my personnel file. I have read, understood, and agree with the aforementioned.

Select the box below to indicate your agreement to the statement above. Yes