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 (required)

Middle name of employee

Last name of employee (required)

Street Address (required)

City (required)

Province/State (required)

Country (required)

Postal/Zip Code

Phone number (required)

Email address (required)

Position at SickKids

Department (required)

Apartment Preference

Select your first choice for apartment type (required)

Select your second choice for apartment type (required)

Select your third choice for apartment type (required)

Occupancy duration

Select your requested move-in date (required)

Select your requested move-out date (required)

Other occupants (required)

Parking information

Do you require a parking spot? (required) Yes No

Make of car (required)

License plate number (required)

I authorize The Hospital for Sick Children 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