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.

In addition, the Departmental Application for Occupancy Form must be completed on your behalf to verify your proof of employment at SickKids. Please ask your SickKids department to fill out the form on your behalf.

Incomplete applications will not be accepted.

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 the Property Administrator.

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

Personal Information (PI) collected in this form will only be used for the purpose defined above and will only be retained for the period of time required to fulfill the purpose for which we collected it or as permitted and/or required by law. The hospital takes reasonable steps to protect your information from theft, loss and unauthorized use and/or disclosure. You may contact kathleen.bradshaw@colliers.com if you have any questions about this form/program/process or if you do not want to provide any PI using the form. If you have general questions about the Hospital’s information practices, please contact privacy.office@sickkids.ca.