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Band Members & Home Ownership
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1.
Please Provide contact information that you can be reached at in the event that you win the draw
(Required.)
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2.
Your age
(Required.)
(19-30)
(31-50)
(51-64)
(65+)
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3.
How do you identify? (If other please describe how you would like to be identified.)
(Required.)
Male
Female
Other
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4.
How Many adults in your household?
(Required.)
1
2
3
4
5
6
7
8
9
10
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5.
Number of Children in your household (Under 19 years old)
(Required.)
1
2
3
4
5
6
7
8
9
10
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6.
Do you live with people who are not your spouse or children? (Yes or No, If yes please describe relationship)
(Required.)
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7.
Please Select all types of income that contribute to household expenses
(Required.)
Full time employment
Part time employment
Seasonal employment
Student funding
Social assistance
Disability (short or long term)
Pension (OAS or CPP)
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8.
Please circle the total amount of household income
(Required.)
$20,000
$21,000-40,000
$41,000-60,000
$76,000+
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9.
Do you Currently live On or Off reserve?
(Required.)
On reserve
Off reserve
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10.
If you pay rent, what monthly amount is charged for rent?
(Required.)
less than $500
$500-$800
$800-$1000
$1000-$1500
$1500-$2000
$2000-$2500
$2500-$3000
$3000-$3500
$3500-$4000
$4000-$4500
$4500-$5000
$5000+
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11.
What are your monthly housing related expenses?
(Required.)
Hydro:
Alternative heating source:
Telephone:
Internet/cable:
Insurance:
Property tax (if applicable):
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12.
What are your monthly non-housing related expenses?
(Required.)
Groceries:
Vehicle related costs:
Entertainment/ recreational:
Personal loans/debt:
Other (please specify):
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13.
How much do you spend for annual maintenance? (ex. Gutter cleaning, furnace services, duct cleaning, lawn and driveway maintenance, small repairs, ext.)
(Required.)
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14.
Do you or someone in your household require handicap/accessible features in your home? (Yes or No, if Yes, please describe)
(Required.)
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15.
Do you or someone in your household own land?
(Required.)
Yes
No
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16.
If yes, please describe location below. (example: head of the lake, round lake, duck lake, white mans creek, etc.)
(Required.)
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17.
Please number from 1 to 3 the location in which you would like to build a home. 1 being the most desirable.
(Required.)
Head of the Lake
Round Lake
Six Mile Creek
White Mans Creek
Duck Lake
Goose Lake
Other
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18.
If a subdivision could offer communal septic, garbage pickup, water connection, road maintenance, street lights, etc. Would you consider living in a subdivision type setting?
(Required.)
yes
no
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19.
What other services or attributes would make a good subdivision:
(Required.)
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20.
Please check off which amenities are most important when choosing a location for your future home:
(Required.)
Child care
Schools (elementary or post secondary)
Transit (bus routes)
Health Care Services
Shops and Stores
Other:
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21.
Desired type of housing?
(Required.)
ranch style
modular
2-storey
multi-unit complex
Other:
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22.
Do you currently have the funds for a down-payment on a house? If so, please disclose the amount.
(Required.)
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23.
Do you plan on having a garden?
(Required.)
Yes
No
24.
What is the purpose of the desired garden? Food, Aesthetics or Other (Please describe
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25.
Parking space required for daily driving vehicles?
(Required.)
0 stalls
1 stall
2 stalls
3 stalls
4 stalls
5+ stalls
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26.
Parking space required for recreational vehicles?
(Required.)
0 stalls
1 stall
2 stalls
3 stalls
4 stalls
5+ stalls
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27.
Desired source of heating?
(Required.)
propane
wood
electric
natural gas
pellets
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28.
Where do you enjoy spending time with your family and friends while at home?
(Required.)
Kitchen
Living Room
Outside / Patio
Garage
Other
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29.
Does your home play a key role in the practice of Okanagan Sylix traditions? Yes or No, If Yes please describe
(Required.)
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30.
In regards to housing and the community, is there any other information you would like to provide that you think is an important consideration when planning for future housing needs?
(Required.)