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Apply to Partner

First Step: Expression of Interest

Date of Application

Please select which areas you are interested in. (Please note that, although subject to change, our upcoming builds focus on county locations.)*

County Only

Windsor Only

Anywhere in Essex County

Applicant: First name*

Applicant: Last name*

Co-Applicant (if applicable): Spouse or Common Law Partner

Email*

Phone*

How long have you lived in Windsor-Essex?*

Multi-line address

Country/Region*

Address*

City*

Zip / Postal code*

How long have you lived at this location?*

How many bedrooms do you currently have?*

Please provide the first name, age, and gender of each person living in your household.

Name*

Gender*

Age*

Name

Gender

Age

Name

Gender

Age

Name

Gender

Age

Name

Gender

Age

Name

Gender

Age

Name

Gender

Age

Name

Gender

Age

Family Income & Credit History

Please list gross monthly amounts from all income sources such as: Employment, ODSP, Canada Child Benefit, Spousal/Child Support, CPP etc.

Please note: Ontario Works, Employment Insurance, WSIB, and HST returns are not qualifying income sources.

Please list all sources and monthly income amounts for the main applicant.

Applicant Employment Income*

Co-applicant Employment Income*

ODSP

Canada Child Benefit

Spousal/Child Support

CPP

Other (Please Specify)

Do you currently own a home?*

Yes

Have you ever declared bankruptcy?*

Yes

If yes, has it been 3 years since your discharge?*

Yes

N/A

No, please add date of discharge.

Monthly Expenses & Present Living Conditions

Please enter your monthly housing costs:

Rent*

Heat*

Hydro*

Water*

Hot Water Tank Rental*

Cable/Internet*

Insurance (home or contents insurance)*

Please provide your monthly payment for any of the following:

Car Loan*

Car Insurance*

Credit Cards*

Line(s) of Credit*

Payday Loan(s)*

Other (Describe)

Do you live in inadequate or overcrowded living conditions? (This may include parents sharing a room with a child, a parent without a bedroom, more than 2 children per room or opposite sex children sharing a room)*

Yes (Please Explain)

Long answer

Do you live in unsafe or unhealthy conditions?*

Yes (Please Explain)

Long answer

Is there any additional information you would like to provide?

Thank you to our Sponsors!

Build Sponsor:

With additional thanks to

We acknowledge that we are on land and surrounded by water, originally inhabited by Indigenous Peoples who have travelled this area since time immemorial. This territory is within the lands honoured by the Wampum Treaties; agreements between the Anishinaabe, Haudenosaunee, Lenni Lenape and allied Nations to peacefully share and care for the resources around the Great Lakes.

Specifically, we would like to acknowledge the presence of the Three Fires Confederacy (Ojibwe, Odawa, Potawatomi) and Huron/Wendat Peoples. We are dedicated to honouring Indigenous history and culture while remaining committed to moving forward respectfully with all First Nations, Inuit and Métis.

Main Office & ReStore

51 Edinborough St.

Windsor, Ontario, N8X 3C3

Tel: 519-969-3762

Fax: 519-969-7832

Email: office@habitatwindsor.org

Charitable Registration #

138819479RR0001

ReStore Hours

Monday - Saturday

9:00 am - 5:00 pm

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Sunday

10:00 am - 5:00 pm

Donation Drop-offs

Monday - Saturday

9:00 am - 4:00 pm

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