Employment, income and references Applicant employment Current employer *
Employment address *
Occupation *
Time with employer * Select Under 6 months 6–12 months 1–2 years 2–5 years 5+ years
Gross monthly income range (CAD) * Select Under $2,000 $2,000–$2,999 $3,000–$3,999 $4,000–$4,999 $5,000–$7,499 $7,500–$9,999 $10,000 or more
Employment type * Select Permanent Contract Part-time Other
Contract end date (if applicable) Supervisor name (if applicable)
Supervisor phone (if applicable)
Employment remarks (optional)
Other income: monthly amount and source (optional)
Reference - not a family member (one required) Reference name *
Reference phone *
Relationship *
This reference is for * Select Applicant Co-applicant
Guarantor (optional)
Additional notes (optional)