{"id":3532,"date":"2020-09-13T19:27:20","date_gmt":"2020-09-13T23:27:20","guid":{"rendered":"https:\/\/romel-montreal.ca\/housing-application\/"},"modified":"2020-09-14T11:13:40","modified_gmt":"2020-09-14T15:13:40","slug":"housing-application","status":"publish","type":"page","link":"https:\/\/romel-montreal.ca\/en\/housing-application\/","title":{"rendered":"Housing Application"},"content":{"rendered":"<div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-1 nonhundred-percent-fullwidth non-hundred-percent-height-scrolling\" style=\"--awb-border-radius-top-left:0px;--awb-border-radius-top-right:0px;--awb-border-radius-bottom-right:0px;--awb-border-radius-bottom-left:0px;--awb-padding-top:10%;--awb-padding-right:15%;--awb-padding-left:15%;--awb-flex-wrap:wrap;\" ><div class=\"fusion-builder-row fusion-row\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-0 fusion_builder_column_1_1 1_1 fusion-one-full fusion-column-first fusion-column-last\" style=\"--awb-bg-size:cover;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-column-wrapper-legacy\"><div class=\"fusion-text fusion-text-1\"><div id=\"KnM9nf\">\n<div id=\"tw-smenu\" class=\"tw-menu\">ROMEL contributes to the development of new affordable housing units in Quebec. Once you fill out an application form, it goes on a waiting list. Your information is forwarded to various housing committees, cooperatives and nonprofits that are looking for new members or tenants. The information you provide is only used for housing search and statistical purposes.<\/div>\n<\/div>\n<\/div><div class=\"forminator-ui forminator-custom-form forminator-custom-form-3325 forminator-design--default  forminator_ajax\" data-forminator-render=\"0\" data-form=\"forminator-module-3325\" data-uid=\"69d097d901e78\"><br\/><\/div><form\n\t\t\t\tid=\"forminator-module-3325\"\n\t\t\t\tclass=\"forminator-ui forminator-custom-form forminator-custom-form-3325 forminator-design--default  forminator_ajax\"\n\t\t\t\tmethod=\"post\"\n\t\t\t\tdata-forminator-render=\"0\"\n\t\t\t\tdata-form-id=\"3325\"\n\t\t\t\t data-color-option=\"default\" data-design=\"default\" data-grid=\"open\" style=\"display: none;\"\n\t\t\t\tdata-uid=\"69d097d901e78\"\n\t\t\t><div role=\"alert\" aria-live=\"polite\" class=\"forminator-response-message forminator-error\" aria-hidden=\"true\"><\/div><div role=\"tablist\" class=\"forminator-pagination-steps\" aria-label=\"Pagination\"><\/div><div\n\t\t\t\ttabindex=\"-1\"\n\t\t\t\trole=\"tabpanel\"\n\t\t\t\tid=\"forminator-custom-form-3325--page-0\"\n\t\t\t\tclass=\"forminator-pagination forminator-pagination-start\"\n\t\t\t\taria-labelledby=\"forminator-custom-form-3325--page-0-label\"\n\t\t\t\tdata-step=\"0\"\n\t\t\t\tdata-label=\"End\"\n\t\t\t\tdata-actual-label=\"Page 1\"\n\t\t\t\tdata-name=\"page-break-1\"\n\t\t\t><div class=\"forminator-pagination--content\"><div class=\"forminator-row\"><div id=\"section-1\" class=\"forminator-field-section forminator-col forminator-col-12 \"><div class=\"forminator-field\"><h2 class=\"forminator-title\">Identification<\/h2><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"name-1\" class=\"forminator-field-name forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-name-1_69d097d901e78\" id=\"forminator-field-name-1_69d097d901e78-label\" class=\"forminator-label\">First Name <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"name-1\" value=\"\" placeholder=\"\" id=\"forminator-field-name-1_69d097d901e78\" class=\"forminator-input forminator-name--field\" aria-required=\"true\" autocomplete=\"name\" \/><\/div><\/div><div id=\"name-2\" class=\"forminator-field-name forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-name-2_69d097d901e78\" id=\"forminator-field-name-2_69d097d901e78-label\" class=\"forminator-label\">Last Name <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"name-2\" value=\"\" placeholder=\"\" id=\"forminator-field-name-2_69d097d901e78\" class=\"forminator-input forminator-name--field\" aria-required=\"true\" autocomplete=\"name\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"phone-1\" class=\"forminator-field-phone forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-phone-1_69d097d901e78\" id=\"forminator-field-phone-1_69d097d901e78-label\" class=\"forminator-label\">Phone Number <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"phone-1\" value=\"\" placeholder=\"\" id=\"forminator-field-phone-1_69d097d901e78\" class=\"forminator-input forminator-field--phone\" data-required=\"1\" aria-required=\"true\" autocomplete=\"off\" \/><\/div><\/div><div id=\"email-1\" class=\"forminator-field-email forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-email-1_69d097d901e78\" id=\"forminator-field-email-1_69d097d901e78-label\" class=\"forminator-label\">Email <span class=\"forminator-required\">*<\/span><\/label><input type=\"email\" name=\"email-1\" value=\"\" placeholder=\"\" id=\"forminator-field-email-1_69d097d901e78\" class=\"forminator-input forminator-email--field\" data-required=\"1\" aria-required=\"true\" autocomplete=\"email\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"select-1\" class=\"forminator-field-select forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-form-3325__field--select-1_69d097d901e78\" id=\"forminator-form-3325__field--select-1_69d097d901e78-label\" class=\"forminator-label\">Residence status <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-3325__field--select-1_69d097d901e78\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-1\" data-default-value=\"\" data-placeholder=\"Please select an option\" data-search=\"false\" data-search-placeholder=\"Please select an option\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-3325__field--select-1_69d097d901e78-label\"><option value=\"\"  >Please select an option<\/option><option value=\"Citoyen Canadien\"  data-calculation=\"0\">Canadian citizen<\/option><option value=\"R\u00e9sident permanent\"  data-calculation=\"0\">Permanent resident<\/option><option value=\"R\u00e9fugi\u00e9\"  data-calculation=\"0\">Refugee<\/option><option value=\"Demandeur d&#039;asile\"  data-calculation=\"0\">Asking for asylum<\/option><\/select><\/div><\/div><div id=\"date-5\" class=\"forminator-field-date forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-date-5-picker_69d097d901e78\" id=\"forminator-field-date-5-picker_69d097d901e78-label\" class=\"forminator-label\">Date of Birth <span class=\"forminator-required\">*<\/span><\/label><div class=\"forminator-input-with-icon\"><span class=\"forminator-icon-calendar\" aria-hidden=\"true\"><\/span><input autocomplete=\"off\" type=\"text\" size=\"1\" name=\"date-5\" value=\"\" placeholder=\"\" id=\"forminator-field-date-5-picker_69d097d901e78\" class=\"forminator-input forminator-datepicker\" data-required=\"1\" data-format=\"yy\/mm\/dd\" data-restrict-type=\"\" data-restrict=\"\" data-start-year=\"1900\" data-end-year=\"2126\" data-past-dates=\"enable\" data-start-of-week=\"1\" data-start-date=\"01\/01\/1900\" data-end-date=\"\" data-start-field=\"\" data-end-field=\"\" data-start-offset=\"\" data-end-offset=\"\" data-disable-date=\"\" data-disable-range=\"\" \/><\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"select-2\" class=\"forminator-field-select forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-form-3325__field--select-2_69d097d901e78\" id=\"forminator-form-3325__field--select-2_69d097d901e78-label\" class=\"forminator-label\"> Gross annual income <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-3325__field--select-2_69d097d901e78\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-2\" data-default-value=\"\" data-placeholder=\"Please select an option\" data-search=\"false\" data-search-placeholder=\"Please select an option\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-3325__field--select-2_69d097d901e78-label\"><option value=\"\"  >Please select an option<\/option><option value=\"10-000-ou-moins\"  data-calculation=\"0\">$ 10,000 or less<\/option><option value=\"10 001-15 000\"  data-calculation=\"0\">$ 10,001 to $ 15,000<\/option><option value=\"15 001-20 000\"  data-calculation=\"0\">$ 15,001 to $ 20,000<\/option><option value=\"20 001-25 000\"  data-calculation=\"0\">$ 20,001 to $ 25,000<\/option><option value=\"25 001-29 000\"  data-calculation=\"0\">$ 25,001 to $ 29,000<\/option><option value=\"29 501-34 000\"  data-calculation=\"0\">$ 29,501 to $ 34,000<\/option><option value=\"34-001-44-000\"  data-calculation=\"0\">$ 34,001 to $ 44,000<\/option><option value=\"44 001- et plus\"  data-calculation=\"0\">$ 44,000 and over<\/option><\/select><\/div><\/div><div id=\"select-3\" class=\"forminator-field-select forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-form-3325__field--select-3_69d097d901e78\" id=\"forminator-form-3325__field--select-3_69d097d901e78-label\" class=\"forminator-label\">Source of income <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-3325__field--select-3_69d097d901e78\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-3\" data-default-value=\"\" data-placeholder=\"Please select an option\" data-search=\"false\" data-search-placeholder=\"Please select an option\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-3325__field--select-3_69d097d901e78-label\"><option value=\"\"  >Please select an option<\/option><option value=\"Travail\"  data-calculation=\"0\">Work<\/option><option value=\"Assurance-emploi\"  data-calculation=\"0\">Employment Insurance<\/option><option value=\"Aide sociale\"  data-calculation=\"0\">Welfare<\/option><option value=\"Pension\"  data-calculation=\"0\">Pension<\/option><\/select><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-2\" class=\"forminator-field-text forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-2_69d097d901e78\" id=\"forminator-field-text-2_69d097d901e78-label\" class=\"forminator-label\">Profession<\/label><input type=\"text\" name=\"text-2\" value=\"\" placeholder=\"\" id=\"forminator-field-text-2_69d097d901e78\" class=\"forminator-input forminator-name--field\" data-required=\"\" \/><\/div><\/div><div id=\"text-3\" class=\"forminator-field-text forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-3_69d097d901e78\" id=\"forminator-field-text-3_69d097d901e78-label\" class=\"forminator-label\">Current job<\/label><input type=\"text\" name=\"text-3\" value=\"\" placeholder=\"\" id=\"forminator-field-text-3_69d097d901e78\" class=\"forminator-input forminator-name--field\" data-required=\"\" \/><\/div><\/div><\/div><\/div><\/div><div\n\t\t\t\ttabindex=\"-1\"\n\t\t\t\trole=\"tabpanel\"\n\t\t\t\tid=\"forminator-custom-form-3325--page-1\"\n\t\t\t\tclass=\"forminator-pagination\"\n\t\t\t\taria-labelledby=\"forminator-custom-form-3325--page-1-label\"\n\t\t\t\taria-hidden=\"true\"\n\t\t\t\tdata-step=\"1\"\n\t\t\t\tdata-label=\"Page  1\"\n\t\t\t\tdata-actual-label=\"Page 2\"\n\t\t\t\tdata-name=\"page-break-2\"\n\t\t\t\thidden\n\t\t\t><div class=\"forminator-pagination--content\"><div class=\"forminator-row\"><div id=\"section-2\" class=\"forminator-field-section forminator-col forminator-col-12 \"><div class=\"forminator-field\"><h2 class=\"forminator-title\">Dwelling Requested<\/h2><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"select-4\" class=\"forminator-field-select forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-form-3325__field--select-4_69d097d901e78\" id=\"forminator-form-3325__field--select-4_69d097d901e78-label\" class=\"forminator-label\">Housing type <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-3325__field--select-4_69d097d901e78\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-4\" data-default-value=\"\" data-placeholder=\"Please select an option\" data-search=\"false\" data-search-placeholder=\"Please select an option\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-3325__field--select-4_69d097d901e78-label\"><option value=\"\"  >Please select an option<\/option><option value=\"Location\"  data-calculation=\"0\">Rental<\/option><option value=\"Sous-location\"  data-calculation=\"0\">Sublet<\/option><option value=\"Cession de bail\"  data-calculation=\"0\">Assignment of lease<\/option><option value=\"Co-location\"  data-calculation=\"0\">Flatsharing<\/option><\/select><\/div><\/div><div id=\"checkbox-1\" class=\"forminator-field-checkbox forminator-col forminator-col-6 \"><div role=\"group\" class=\"forminator-field\" aria-labelledby=\"forminator-checkbox-group-forminator-field-checkbox-1-69d097d901e78-label\"><span id=\"forminator-checkbox-group-forminator-field-checkbox-1-69d097d901e78-label\" class=\"forminator-label\">Do you need an adapted dwelling in order to help with a handicap<\/span><label id=\"forminator-field-checkbox-1-1-69d097d901e78-label\" for=\"forminator-field-checkbox-1-1-69d097d901e78\" class=\"forminator-checkbox forminator-checkbox-inline\" title=\"Yes\"><input type=\"checkbox\" name=\"checkbox-1[]\" value=\"oui\" id=\"forminator-field-checkbox-1-1-69d097d901e78\" aria-labelledby=\"forminator-field-checkbox-1-1-69d097d901e78-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">Yes<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"number-3\" class=\"forminator-field-number forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-number-3_69d097d901e78\" id=\"forminator-field-number-3_69d097d901e78-label\" class=\"forminator-label\">Number of bedrooms<\/label><input name=\"number-3\" value=\"\" placeholder=\"\" id=\"forminator-field-number-3_69d097d901e78\" class=\"forminator-input forminator-number--field\" inputmode=\"decimal\" data-required=\"\" data-decimals=\"0\" aria-required=\"false\" data-inputmask=\"&#039;groupSeparator&#039;: &#039;&#039;, &#039;radixPoint&#039;: &#039;&#039;, &#039;digits&#039;: &#039;0&#039;\" type=\"number\" step=\"any\" min=\"1\" max=\"10\" \/><\/div><\/div><div id=\"text-1\" class=\"forminator-field-text forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-1_69d097d901e78\" id=\"forminator-field-text-1_69d097d901e78-label\" class=\"forminator-label\">Floor<\/label><input type=\"text\" name=\"text-1\" value=\"\" placeholder=\"\" id=\"forminator-field-text-1_69d097d901e78\" class=\"forminator-input forminator-name--field\" data-required=\"\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"checkbox-2\" class=\"forminator-field-checkbox forminator-col forminator-col-12 \"><div role=\"group\" class=\"forminator-field required\" aria-labelledby=\"forminator-checkbox-group-forminator-field-checkbox-2-69d097d901e78-label\"><span id=\"forminator-checkbox-group-forminator-field-checkbox-2-69d097d901e78-label\" class=\"forminator-label\">In which district(s) would you like to live? (You can choose more than one option)  <span class=\"forminator-required\">*<\/span><\/span><label id=\"forminator-field-checkbox-2-1-69d097d901e78-label\" for=\"forminator-field-checkbox-2-1-69d097d901e78\" class=\"forminator-checkbox forminator-checkbox-inline\" title=\"Ahuntsic - Cartierville\"><input type=\"checkbox\" name=\"checkbox-2[]\" value=\"Ahuntsic - Cartierville\" id=\"forminator-field-checkbox-2-1-69d097d901e78\" aria-labelledby=\"forminator-field-checkbox-2-1-69d097d901e78-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">Ahuntsic - Cartierville<\/span><\/label><label id=\"forminator-field-checkbox-2-2-69d097d901e78-label\" for=\"forminator-field-checkbox-2-2-69d097d901e78\" class=\"forminator-checkbox forminator-checkbox-inline\" title=\"Anjou\"><input type=\"checkbox\" name=\"checkbox-2[]\" value=\"Anjou\" id=\"forminator-field-checkbox-2-2-69d097d901e78\" aria-labelledby=\"forminator-field-checkbox-2-2-69d097d901e78-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">Anjou<\/span><\/label><label id=\"forminator-field-checkbox-2-3-69d097d901e78-label\" for=\"forminator-field-checkbox-2-3-69d097d901e78\" class=\"forminator-checkbox forminator-checkbox-inline\" title=\"C\u00f4te-des-Neiges-Notre-Dame-de-Gr\u00e2ce \"><input type=\"checkbox\" name=\"checkbox-2[]\" value=\"C\u00f4te-des-Neiges-Notre-Dame-de-Gr\u00e2ce \" id=\"forminator-field-checkbox-2-3-69d097d901e78\" aria-labelledby=\"forminator-field-checkbox-2-3-69d097d901e78-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">C\u00f4te-des-Neiges-Notre-Dame-de-Gr\u00e2ce <\/span><\/label><label id=\"forminator-field-checkbox-2-4-69d097d901e78-label\" for=\"forminator-field-checkbox-2-4-69d097d901e78\" class=\"forminator-checkbox forminator-checkbox-inline\" title=\"Dorval \"><input type=\"checkbox\" name=\"checkbox-2[]\" value=\"Ile Dorval\" id=\"forminator-field-checkbox-2-4-69d097d901e78\" aria-labelledby=\"forminator-field-checkbox-2-4-69d097d901e78-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">Dorval <\/span><\/label><label id=\"forminator-field-checkbox-2-5-69d097d901e78-label\" for=\"forminator-field-checkbox-2-5-69d097d901e78\" class=\"forminator-checkbox forminator-checkbox-inline\" title=\"Lachine\"><input type=\"checkbox\" name=\"checkbox-2[]\" value=\"Lachine\" id=\"forminator-field-checkbox-2-5-69d097d901e78\" aria-labelledby=\"forminator-field-checkbox-2-5-69d097d901e78-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">Lachine<\/span><\/label><label id=\"forminator-field-checkbox-2-6-69d097d901e78-label\" for=\"forminator-field-checkbox-2-6-69d097d901e78\" class=\"forminator-checkbox forminator-checkbox-inline\" title=\" Lasalle \"><input type=\"checkbox\" name=\"checkbox-2[]\" value=\" Lasalle \" id=\"forminator-field-checkbox-2-6-69d097d901e78\" aria-labelledby=\"forminator-field-checkbox-2-6-69d097d901e78-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\"> Lasalle <\/span><\/label><label id=\"forminator-field-checkbox-2-7-69d097d901e78-label\" for=\"forminator-field-checkbox-2-7-69d097d901e78\" class=\"forminator-checkbox forminator-checkbox-inline\" title=\"Laval\"><input type=\"checkbox\" name=\"checkbox-2[]\" value=\"Laval\" id=\"forminator-field-checkbox-2-7-69d097d901e78\" aria-labelledby=\"forminator-field-checkbox-2-7-69d097d901e78-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">Laval<\/span><\/label><label id=\"forminator-field-checkbox-2-8-69d097d901e78-label\" for=\"forminator-field-checkbox-2-8-69d097d901e78\" class=\"forminator-checkbox forminator-checkbox-inline\" title=\"Longueuil\"><input type=\"checkbox\" name=\"checkbox-2[]\" value=\"Longueuil\" id=\"forminator-field-checkbox-2-8-69d097d901e78\" aria-labelledby=\"forminator-field-checkbox-2-8-69d097d901e78-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">Longueuil<\/span><\/label><label id=\"forminator-field-checkbox-2-9-69d097d901e78-label\" for=\"forminator-field-checkbox-2-9-69d097d901e78\" class=\"forminator-checkbox forminator-checkbox-inline\" title=\"Mercier-Hochelaga-Maisonneuve \"><input type=\"checkbox\" name=\"checkbox-2[]\" value=\"Mercier-Hochelaga-Maisonneuve \" id=\"forminator-field-checkbox-2-9-69d097d901e78\" aria-labelledby=\"forminator-field-checkbox-2-9-69d097d901e78-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">Mercier-Hochelaga-Maisonneuve <\/span><\/label><label id=\"forminator-field-checkbox-2-10-69d097d901e78-label\" for=\"forminator-field-checkbox-2-10-69d097d901e78\" class=\"forminator-checkbox forminator-checkbox-inline\" title=\"Montr\u00e9al Est\"><input type=\"checkbox\" name=\"checkbox-2[]\" value=\"Montr\u00e9al Est\" id=\"forminator-field-checkbox-2-10-69d097d901e78\" aria-labelledby=\"forminator-field-checkbox-2-10-69d097d901e78-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">Montr\u00e9al Est<\/span><\/label><label id=\"forminator-field-checkbox-2-11-69d097d901e78-label\" for=\"forminator-field-checkbox-2-11-69d097d901e78\" class=\"forminator-checkbox forminator-checkbox-inline\" title=\"Montr\u00e9al-Nord \"><input type=\"checkbox\" name=\"checkbox-2[]\" value=\"Montr\u00e9al-Nord \" id=\"forminator-field-checkbox-2-11-69d097d901e78\" aria-labelledby=\"forminator-field-checkbox-2-11-69d097d901e78-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">Montr\u00e9al-Nord <\/span><\/label><label id=\"forminator-field-checkbox-2-12-69d097d901e78-label\" for=\"forminator-field-checkbox-2-12-69d097d901e78\" class=\"forminator-checkbox forminator-checkbox-inline\" title=\"Montr\u00e9al Ouest\"><input type=\"checkbox\" name=\"checkbox-2[]\" value=\"Montr\u00e9al Ouest\" id=\"forminator-field-checkbox-2-12-69d097d901e78\" aria-labelledby=\"forminator-field-checkbox-2-12-69d097d901e78-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">Montr\u00e9al Ouest<\/span><\/label><label id=\"forminator-field-checkbox-2-13-69d097d901e78-label\" for=\"forminator-field-checkbox-2-13-69d097d901e78\" class=\"forminator-checkbox forminator-checkbox-inline\" title=\"Mont-Royal\"><input type=\"checkbox\" name=\"checkbox-2[]\" value=\"Mont-Royal\" id=\"forminator-field-checkbox-2-13-69d097d901e78\" aria-labelledby=\"forminator-field-checkbox-2-13-69d097d901e78-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">Mont-Royal<\/span><\/label><label id=\"forminator-field-checkbox-2-14-69d097d901e78-label\" for=\"forminator-field-checkbox-2-14-69d097d901e78\" class=\"forminator-checkbox forminator-checkbox-inline\" title=\"Outremont\"><input type=\"checkbox\" name=\"checkbox-2[]\" value=\"Outremont\" id=\"forminator-field-checkbox-2-14-69d097d901e78\" aria-labelledby=\"forminator-field-checkbox-2-14-69d097d901e78-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">Outremont<\/span><\/label><label id=\"forminator-field-checkbox-2-15-69d097d901e78-label\" for=\"forminator-field-checkbox-2-15-69d097d901e78\" class=\"forminator-checkbox forminator-checkbox-inline\" title=\"Pierrefonds - Roxboro \"><input type=\"checkbox\" name=\"checkbox-2[]\" value=\"Pierrefonds - Roxboro \" id=\"forminator-field-checkbox-2-15-69d097d901e78\" aria-labelledby=\"forminator-field-checkbox-2-15-69d097d901e78-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">Pierrefonds - Roxboro <\/span><\/label><label id=\"forminator-field-checkbox-2-16-69d097d901e78-label\" for=\"forminator-field-checkbox-2-16-69d097d901e78\" class=\"forminator-checkbox forminator-checkbox-inline\" title=\"Plateau Mont-Royal \"><input type=\"checkbox\" name=\"checkbox-2[]\" value=\"Plateau Mont-Royal \" id=\"forminator-field-checkbox-2-16-69d097d901e78\" aria-labelledby=\"forminator-field-checkbox-2-16-69d097d901e78-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">Plateau Mont-Royal <\/span><\/label><label id=\"forminator-field-checkbox-2-17-69d097d901e78-label\" for=\"forminator-field-checkbox-2-17-69d097d901e78\" class=\"forminator-checkbox forminator-checkbox-inline\" title=\"Pointe St-Charles\"><input type=\"checkbox\" name=\"checkbox-2[]\" value=\"Pointe St.Charles\" id=\"forminator-field-checkbox-2-17-69d097d901e78\" aria-labelledby=\"forminator-field-checkbox-2-17-69d097d901e78-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">Pointe St-Charles<\/span><\/label><label id=\"forminator-field-checkbox-2-18-69d097d901e78-label\" for=\"forminator-field-checkbox-2-18-69d097d901e78\" class=\"forminator-checkbox forminator-checkbox-inline\" title=\"Rivi\u00e8re-des-Prairies-Pointe-aux-Trembles \"><input type=\"checkbox\" name=\"checkbox-2[]\" value=\"Rivi\u00e8re-des-Prairies-Pointe-aux-Trembles \" id=\"forminator-field-checkbox-2-18-69d097d901e78\" aria-labelledby=\"forminator-field-checkbox-2-18-69d097d901e78-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">Rivi\u00e8re-des-Prairies-Pointe-aux-Trembles <\/span><\/label><label id=\"forminator-field-checkbox-2-19-69d097d901e78-label\" for=\"forminator-field-checkbox-2-19-69d097d901e78\" class=\"forminator-checkbox forminator-checkbox-inline\" title=\"Rosemont-La Petite-Patrie\"><input type=\"checkbox\" name=\"checkbox-2[]\" value=\"Rosemont-La Petite-Patrie\" id=\"forminator-field-checkbox-2-19-69d097d901e78\" aria-labelledby=\"forminator-field-checkbox-2-19-69d097d901e78-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">Rosemont-La Petite-Patrie<\/span><\/label><label id=\"forminator-field-checkbox-2-20-69d097d901e78-label\" for=\"forminator-field-checkbox-2-20-69d097d901e78\" class=\"forminator-checkbox forminator-checkbox-inline\" title=\"Saint-Laurent \"><input type=\"checkbox\" name=\"checkbox-2[]\" value=\"Saint-Laurent \" id=\"forminator-field-checkbox-2-20-69d097d901e78\" aria-labelledby=\"forminator-field-checkbox-2-20-69d097d901e78-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">Saint-Laurent <\/span><\/label><label id=\"forminator-field-checkbox-2-21-69d097d901e78-label\" for=\"forminator-field-checkbox-2-21-69d097d901e78\" class=\"forminator-checkbox forminator-checkbox-inline\" title=\"Saint-L\u00e9onard \"><input type=\"checkbox\" name=\"checkbox-2[]\" value=\"Saint-L\u00e9onard \" id=\"forminator-field-checkbox-2-21-69d097d901e78\" aria-labelledby=\"forminator-field-checkbox-2-21-69d097d901e78-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">Saint-L\u00e9onard <\/span><\/label><label id=\"forminator-field-checkbox-2-22-69d097d901e78-label\" for=\"forminator-field-checkbox-2-22-69d097d901e78\" class=\"forminator-checkbox forminator-checkbox-inline\" title=\"Sud-Ouest\"><input type=\"checkbox\" name=\"checkbox-2[]\" value=\"Sud-Ouest\" id=\"forminator-field-checkbox-2-22-69d097d901e78\" aria-labelledby=\"forminator-field-checkbox-2-22-69d097d901e78-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">Sud-Ouest<\/span><\/label><label id=\"forminator-field-checkbox-2-23-69d097d901e78-label\" for=\"forminator-field-checkbox-2-23-69d097d901e78\" class=\"forminator-checkbox forminator-checkbox-inline\" title=\"Verdun\"><input type=\"checkbox\" name=\"checkbox-2[]\" value=\"Verdun\" id=\"forminator-field-checkbox-2-23-69d097d901e78\" aria-labelledby=\"forminator-field-checkbox-2-23-69d097d901e78-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">Verdun<\/span><\/label><label id=\"forminator-field-checkbox-2-24-69d097d901e78-label\" for=\"forminator-field-checkbox-2-24-69d097d901e78\" class=\"forminator-checkbox forminator-checkbox-inline\" title=\"Ville-Marie \"><input type=\"checkbox\" name=\"checkbox-2[]\" value=\"Ville-Marie \" id=\"forminator-field-checkbox-2-24-69d097d901e78\" aria-labelledby=\"forminator-field-checkbox-2-24-69d097d901e78-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">Ville-Marie <\/span><\/label><label id=\"forminator-field-checkbox-2-25-69d097d901e78-label\" for=\"forminator-field-checkbox-2-25-69d097d901e78\" class=\"forminator-checkbox forminator-checkbox-inline\" title=\"Villeray-Saint-Michel-Parc-Extension\"><input type=\"checkbox\" name=\"checkbox-2[]\" value=\"Villeray-Saint-Michel-Parc-Extension\" id=\"forminator-field-checkbox-2-25-69d097d901e78\" aria-labelledby=\"forminator-field-checkbox-2-25-69d097d901e78-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">Villeray-Saint-Michel-Parc-Extension<\/span><\/label><label id=\"forminator-field-checkbox-2-26-69d097d901e78-label\" for=\"forminator-field-checkbox-2-26-69d097d901e78\" class=\"forminator-checkbox forminator-checkbox-inline\" title=\"Westmount\"><input type=\"checkbox\" name=\"checkbox-2[]\" value=\"Westmount\" id=\"forminator-field-checkbox-2-26-69d097d901e78\" aria-labelledby=\"forminator-field-checkbox-2-26-69d097d901e78-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">Westmount<\/span><\/label><label id=\"forminator-field-checkbox-2-27-69d097d901e78-label\" for=\"forminator-field-checkbox-2-27-69d097d901e78\" class=\"forminator-checkbox forminator-checkbox-inline\" title=\"Tous\"><input type=\"checkbox\" name=\"checkbox-2[]\" value=\"Tous\" id=\"forminator-field-checkbox-2-27-69d097d901e78\" aria-labelledby=\"forminator-field-checkbox-2-27-69d097d901e78-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">Tous<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"section-4\" class=\"forminator-field-section forminator-col forminator-col-12 \"><div class=\"forminator-field\"><h2 class=\"forminator-title\">Household composition<\/h2><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"name-3\" class=\"forminator-field-name forminator-col forminator-col-3 \"><div class=\"forminator-field\"><label for=\"forminator-field-name-3_69d097d901e78\" id=\"forminator-field-name-3_69d097d901e78-label\" class=\"forminator-label\">First Name<\/label><input type=\"text\" name=\"name-3\" value=\"\" placeholder=\"\" id=\"forminator-field-name-3_69d097d901e78\" class=\"forminator-input forminator-name--field\" aria-required=\"false\" autocomplete=\"name\" \/><\/div><\/div><div id=\"name-4\" class=\"forminator-field-name forminator-col forminator-col-3 \"><div class=\"forminator-field\"><label for=\"forminator-field-name-4_69d097d901e78\" id=\"forminator-field-name-4_69d097d901e78-label\" class=\"forminator-label\">Last Name<\/label><input type=\"text\" name=\"name-4\" value=\"\" placeholder=\"\" id=\"forminator-field-name-4_69d097d901e78\" class=\"forminator-input forminator-name--field\" aria-required=\"false\" autocomplete=\"name\" \/><\/div><\/div><div id=\"select-5\" class=\"forminator-field-select forminator-col forminator-col-3 \"><div class=\"forminator-field\"><label for=\"forminator-form-3325__field--select-5_69d097d901e78\" id=\"forminator-form-3325__field--select-5_69d097d901e78-label\" class=\"forminator-label\">Relationship<\/label><select  id=\"forminator-form-3325__field--select-5_69d097d901e78\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"\" name=\"select-5\" data-default-value=\"\" data-placeholder=\"\" data-search=\"false\" data-search-placeholder=\"\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-3325__field--select-5_69d097d901e78-label\"><option value=\"Conjoint\"  data-calculation=\"0\">Spouse<\/option><option value=\"Fille\"  data-calculation=\"0\">Daughter<\/option><option value=\"Fils\"  data-calculation=\"0\">Son<\/option><option value=\"soeur\"  data-calculation=\"0\">Sister<\/option><option value=\"Fr\u00e8re\"  data-calculation=\"0\">Brother<\/option><option value=\"Papa\"  data-calculation=\"0\">Father<\/option><option value=\"M\u00e8re\"  data-calculation=\"0\">Mother<\/option><option value=\"Neveu\"  data-calculation=\"0\">Nephew<\/option><\/select><\/div><\/div><div id=\"date-2\" class=\"forminator-field-date forminator-col forminator-col-3 \"><div class=\"forminator-field\"><label for=\"forminator-field-date-2-picker_69d097d901e78\" id=\"forminator-field-date-2-picker_69d097d901e78-label\" class=\"forminator-label\">Date of Birth<\/label><div class=\"forminator-input-with-icon\"><span class=\"forminator-icon-calendar\" aria-hidden=\"true\"><\/span><input autocomplete=\"off\" type=\"text\" size=\"1\" name=\"date-2\" value=\"\" placeholder=\"\" id=\"forminator-field-date-2-picker_69d097d901e78\" class=\"forminator-input forminator-datepicker\" data-required=\"\" data-format=\"yy\/mm\/dd\" data-restrict-type=\"\" data-restrict=\"\" data-start-year=\"1900\" data-end-year=\"2126\" data-past-dates=\"enable\" data-start-of-week=\"1\" data-start-date=\"01\/01\/1900\" data-end-date=\"\" data-start-field=\"\" data-end-field=\"\" data-start-offset=\"\" data-end-offset=\"\" data-disable-date=\"\" data-disable-range=\"\" \/><\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"name-5\" class=\"forminator-field-name forminator-col forminator-col-3 \"><div class=\"forminator-field\"><label for=\"forminator-field-name-5_69d097d901e78\" id=\"forminator-field-name-5_69d097d901e78-label\" class=\"forminator-label\">First Name<\/label><input type=\"text\" name=\"name-5\" value=\"\" placeholder=\"\" id=\"forminator-field-name-5_69d097d901e78\" class=\"forminator-input forminator-name--field\" aria-required=\"false\" autocomplete=\"name\" \/><\/div><\/div><div id=\"name-6\" class=\"forminator-field-name forminator-col forminator-col-3 \"><div class=\"forminator-field\"><label for=\"forminator-field-name-6_69d097d901e78\" id=\"forminator-field-name-6_69d097d901e78-label\" class=\"forminator-label\">Last Name<\/label><input type=\"text\" name=\"name-6\" value=\"\" placeholder=\"\" id=\"forminator-field-name-6_69d097d901e78\" class=\"forminator-input forminator-name--field\" aria-required=\"false\" autocomplete=\"name\" \/><\/div><\/div><div id=\"select-6\" class=\"forminator-field-select forminator-col forminator-col-3 \"><div class=\"forminator-field\"><label for=\"forminator-form-3325__field--select-6_69d097d901e78\" id=\"forminator-form-3325__field--select-6_69d097d901e78-label\" class=\"forminator-label\">Relationship<\/label><select  id=\"forminator-form-3325__field--select-6_69d097d901e78\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"\" name=\"select-6\" data-default-value=\"\" data-placeholder=\"\" data-search=\"false\" data-search-placeholder=\"\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-3325__field--select-6_69d097d901e78-label\"><option value=\"Conjoint\"  data-calculation=\"0\">Spouse<\/option><option value=\"Fille\"  data-calculation=\"0\">Daughter<\/option><option value=\"Fils\"  data-calculation=\"0\">Son<\/option><option value=\"soeur\"  data-calculation=\"0\">Sister<\/option><option value=\"Fr\u00e8re\"  data-calculation=\"0\">Brother<\/option><option value=\"Papa\"  data-calculation=\"0\">Father<\/option><option value=\"M\u00e8re\"  data-calculation=\"0\">Mother<\/option><option value=\"Neveu\"  data-calculation=\"0\">Nephew<\/option><\/select><\/div><\/div><div id=\"date-3\" class=\"forminator-field-date forminator-col forminator-col-3 \"><div class=\"forminator-field\"><label for=\"forminator-field-date-3-picker_69d097d901e78\" id=\"forminator-field-date-3-picker_69d097d901e78-label\" class=\"forminator-label\">Date of Birth<\/label><div class=\"forminator-input-with-icon\"><span class=\"forminator-icon-calendar\" aria-hidden=\"true\"><\/span><input autocomplete=\"off\" type=\"text\" size=\"1\" name=\"date-3\" value=\"\" placeholder=\"\" id=\"forminator-field-date-3-picker_69d097d901e78\" class=\"forminator-input forminator-datepicker\" data-required=\"\" data-format=\"yy\/mm\/dd\" data-restrict-type=\"\" data-restrict=\"\" data-start-year=\"1900\" data-end-year=\"2126\" data-past-dates=\"enable\" data-start-of-week=\"1\" data-start-date=\"01\/01\/1900\" data-end-date=\"\" data-start-field=\"\" data-end-field=\"\" data-start-offset=\"\" data-end-offset=\"\" data-disable-date=\"\" data-disable-range=\"\" \/><\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"name-7\" class=\"forminator-field-name forminator-col forminator-col-3 \"><div class=\"forminator-field\"><label for=\"forminator-field-name-7_69d097d901e78\" id=\"forminator-field-name-7_69d097d901e78-label\" class=\"forminator-label\">First Name<\/label><input type=\"text\" name=\"name-7\" value=\"\" placeholder=\"\" id=\"forminator-field-name-7_69d097d901e78\" class=\"forminator-input forminator-name--field\" aria-required=\"false\" autocomplete=\"name\" \/><\/div><\/div><div id=\"name-8\" class=\"forminator-field-name forminator-col forminator-col-3 \"><div class=\"forminator-field\"><label for=\"forminator-field-name-8_69d097d901e78\" id=\"forminator-field-name-8_69d097d901e78-label\" class=\"forminator-label\">Last Name<\/label><input type=\"text\" name=\"name-8\" value=\"\" placeholder=\"\" id=\"forminator-field-name-8_69d097d901e78\" class=\"forminator-input forminator-name--field\" aria-required=\"false\" autocomplete=\"name\" \/><\/div><\/div><div id=\"select-7\" class=\"forminator-field-select forminator-col forminator-col-3 \"><div class=\"forminator-field\"><label for=\"forminator-form-3325__field--select-7_69d097d901e78\" id=\"forminator-form-3325__field--select-7_69d097d901e78-label\" class=\"forminator-label\">Relationship<\/label><select  id=\"forminator-form-3325__field--select-7_69d097d901e78\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"\" name=\"select-7\" data-default-value=\"\" data-placeholder=\"\" data-search=\"false\" data-search-placeholder=\"\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-3325__field--select-7_69d097d901e78-label\"><option value=\"Conjoint\"  data-calculation=\"0\">Spouse<\/option><option value=\"Fille\"  data-calculation=\"0\">Daughter<\/option><option value=\"Fils\"  data-calculation=\"0\">Son<\/option><option value=\"soeur\"  data-calculation=\"0\">Sister<\/option><option value=\"Fr\u00e8re\"  data-calculation=\"0\">Brother<\/option><option value=\"Papa\"  data-calculation=\"0\">Father<\/option><option value=\"M\u00e8re\"  data-calculation=\"0\">Mother<\/option><option value=\"Neveu\"  data-calculation=\"0\">Nephew<\/option><\/select><\/div><\/div><div id=\"date-4\" class=\"forminator-field-date forminator-col forminator-col-3 \"><div class=\"forminator-field\"><label for=\"forminator-field-date-4-picker_69d097d901e78\" id=\"forminator-field-date-4-picker_69d097d901e78-label\" class=\"forminator-label\">Date of Birth<\/label><div class=\"forminator-input-with-icon\"><span class=\"forminator-icon-calendar\" aria-hidden=\"true\"><\/span><input autocomplete=\"off\" type=\"text\" size=\"1\" name=\"date-4\" value=\"\" placeholder=\"\" id=\"forminator-field-date-4-picker_69d097d901e78\" class=\"forminator-input forminator-datepicker\" data-required=\"\" data-format=\"yy\/mm\/dd\" data-restrict-type=\"\" data-restrict=\"\" data-start-year=\"1900\" data-end-year=\"2126\" data-past-dates=\"enable\" data-start-of-week=\"1\" data-start-date=\"01\/01\/1900\" data-end-date=\"\" data-start-field=\"\" data-end-field=\"\" data-start-offset=\"\" data-end-offset=\"\" data-disable-date=\"\" data-disable-range=\"\" \/><\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"name-9\" class=\"forminator-field-name forminator-col forminator-col-3 \"><div class=\"forminator-field\"><label for=\"forminator-field-name-9_69d097d901e78\" id=\"forminator-field-name-9_69d097d901e78-label\" class=\"forminator-label\">First Name<\/label><input type=\"text\" name=\"name-9\" value=\"\" placeholder=\"\" id=\"forminator-field-name-9_69d097d901e78\" class=\"forminator-input forminator-name--field\" aria-required=\"false\" autocomplete=\"name\" \/><\/div><\/div><div id=\"name-10\" class=\"forminator-field-name forminator-col forminator-col-3 \"><div class=\"forminator-field\"><label for=\"forminator-field-name-10_69d097d901e78\" id=\"forminator-field-name-10_69d097d901e78-label\" class=\"forminator-label\">Last Name<\/label><input type=\"text\" name=\"name-10\" value=\"\" placeholder=\"\" id=\"forminator-field-name-10_69d097d901e78\" class=\"forminator-input forminator-name--field\" aria-required=\"false\" autocomplete=\"name\" \/><\/div><\/div><div id=\"select-8\" class=\"forminator-field-select forminator-col forminator-col-3 \"><div class=\"forminator-field\"><label for=\"forminator-form-3325__field--select-8_69d097d901e78\" id=\"forminator-form-3325__field--select-8_69d097d901e78-label\" class=\"forminator-label\">Relationship<\/label><select  id=\"forminator-form-3325__field--select-8_69d097d901e78\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"\" name=\"select-8\" data-default-value=\"\" data-placeholder=\"\" data-search=\"false\" data-search-placeholder=\"\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-3325__field--select-8_69d097d901e78-label\"><option value=\"Conjoint\"  data-calculation=\"0\">Spouse<\/option><option value=\"Fille\"  data-calculation=\"0\">Daughter<\/option><option value=\"Fils\"  data-calculation=\"0\">Son<\/option><option value=\"soeur\"  data-calculation=\"0\">Sister<\/option><option value=\"Fr\u00e8re\"  data-calculation=\"0\">Brother<\/option><option value=\"Papa\"  data-calculation=\"0\">Father<\/option><option value=\"M\u00e8re\"  data-calculation=\"0\">Mother<\/option><option value=\"Neveu\"  data-calculation=\"0\">Nephew<\/option><\/select><\/div><\/div><div id=\"date-6\" class=\"forminator-field-date forminator-col forminator-col-3 \"><div class=\"forminator-field\"><label for=\"forminator-field-date-6-picker_69d097d901e78\" id=\"forminator-field-date-6-picker_69d097d901e78-label\" class=\"forminator-label\">Date of Birth<\/label><div class=\"forminator-input-with-icon\"><span class=\"forminator-icon-calendar\" aria-hidden=\"true\"><\/span><input autocomplete=\"off\" type=\"text\" size=\"1\" name=\"date-6\" value=\"\" placeholder=\"\" id=\"forminator-field-date-6-picker_69d097d901e78\" class=\"forminator-input forminator-datepicker\" data-required=\"\" data-format=\"yy\/mm\/dd\" data-restrict-type=\"\" data-restrict=\"\" data-start-year=\"1900\" data-end-year=\"2126\" data-past-dates=\"enable\" data-start-of-week=\"1\" data-start-date=\"01\/01\/1900\" data-end-date=\"\" data-start-field=\"\" data-end-field=\"\" data-start-offset=\"\" data-end-offset=\"\" data-disable-date=\"\" data-disable-range=\"\" \/><\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"name-11\" class=\"forminator-field-name forminator-col forminator-col-3 \"><div class=\"forminator-field\"><label for=\"forminator-field-name-11_69d097d901e78\" id=\"forminator-field-name-11_69d097d901e78-label\" class=\"forminator-label\">First Name<\/label><input type=\"text\" name=\"name-11\" value=\"\" placeholder=\"\" id=\"forminator-field-name-11_69d097d901e78\" class=\"forminator-input forminator-name--field\" aria-required=\"false\" autocomplete=\"name\" \/><\/div><\/div><div id=\"name-12\" class=\"forminator-field-name forminator-col forminator-col-3 \"><div class=\"forminator-field\"><label for=\"forminator-field-name-12_69d097d901e78\" id=\"forminator-field-name-12_69d097d901e78-label\" class=\"forminator-label\">Last Name<\/label><input type=\"text\" name=\"name-12\" value=\"\" placeholder=\"\" id=\"forminator-field-name-12_69d097d901e78\" class=\"forminator-input forminator-name--field\" aria-required=\"false\" autocomplete=\"name\" \/><\/div><\/div><div id=\"select-9\" class=\"forminator-field-select forminator-col forminator-col-3 \"><div class=\"forminator-field\"><label for=\"forminator-form-3325__field--select-9_69d097d901e78\" id=\"forminator-form-3325__field--select-9_69d097d901e78-label\" class=\"forminator-label\">Relationship<\/label><select  id=\"forminator-form-3325__field--select-9_69d097d901e78\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"\" name=\"select-9\" data-default-value=\"\" data-placeholder=\"\" data-search=\"false\" data-search-placeholder=\"\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-3325__field--select-9_69d097d901e78-label\"><option value=\"Conjoint\"  data-calculation=\"0\">Spouse<\/option><option value=\"Fille\"  data-calculation=\"0\">Daughter<\/option><option value=\"Fils\"  data-calculation=\"0\">Son<\/option><option value=\"soeur\"  data-calculation=\"0\">Sister<\/option><option value=\"Fr\u00e8re\"  data-calculation=\"0\">Brother<\/option><option value=\"Papa\"  data-calculation=\"0\">Father<\/option><option value=\"M\u00e8re\"  data-calculation=\"0\">Mother<\/option><option value=\"Neveu\"  data-calculation=\"0\">Nephew<\/option><\/select><\/div><\/div><div id=\"date-7\" class=\"forminator-field-date forminator-col forminator-col-3 \"><div class=\"forminator-field\"><label for=\"forminator-field-date-7-picker_69d097d901e78\" id=\"forminator-field-date-7-picker_69d097d901e78-label\" class=\"forminator-label\">Date of Birth<\/label><div class=\"forminator-input-with-icon\"><span class=\"forminator-icon-calendar\" aria-hidden=\"true\"><\/span><input autocomplete=\"off\" type=\"text\" size=\"1\" name=\"date-7\" value=\"\" placeholder=\"\" id=\"forminator-field-date-7-picker_69d097d901e78\" class=\"forminator-input forminator-datepicker\" data-required=\"\" data-format=\"yy\/mm\/dd\" data-restrict-type=\"\" data-restrict=\"\" data-start-year=\"1900\" data-end-year=\"2126\" data-past-dates=\"enable\" data-start-of-week=\"1\" data-start-date=\"01\/01\/1900\" data-end-date=\"\" data-start-field=\"\" data-end-field=\"\" data-start-offset=\"\" data-end-offset=\"\" data-disable-date=\"\" data-disable-range=\"\" \/><\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"name-13\" class=\"forminator-field-name forminator-col forminator-col-3 \"><div class=\"forminator-field\"><label for=\"forminator-field-name-13_69d097d901e78\" id=\"forminator-field-name-13_69d097d901e78-label\" class=\"forminator-label\">First Name<\/label><input type=\"text\" name=\"name-13\" value=\"\" placeholder=\"\" id=\"forminator-field-name-13_69d097d901e78\" class=\"forminator-input forminator-name--field\" aria-required=\"false\" autocomplete=\"name\" \/><\/div><\/div><div id=\"name-14\" class=\"forminator-field-name forminator-col forminator-col-3 \"><div class=\"forminator-field\"><label for=\"forminator-field-name-14_69d097d901e78\" id=\"forminator-field-name-14_69d097d901e78-label\" class=\"forminator-label\">Last Name<\/label><input type=\"text\" name=\"name-14\" value=\"\" placeholder=\"\" id=\"forminator-field-name-14_69d097d901e78\" class=\"forminator-input forminator-name--field\" aria-required=\"false\" autocomplete=\"name\" \/><\/div><\/div><div id=\"select-10\" class=\"forminator-field-select forminator-col forminator-col-3 \"><div class=\"forminator-field\"><label for=\"forminator-form-3325__field--select-10_69d097d901e78\" id=\"forminator-form-3325__field--select-10_69d097d901e78-label\" class=\"forminator-label\">Relationship<\/label><select  id=\"forminator-form-3325__field--select-10_69d097d901e78\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"\" name=\"select-10\" data-default-value=\"\" data-placeholder=\"\" data-search=\"false\" data-search-placeholder=\"\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-3325__field--select-10_69d097d901e78-label\"><option value=\"Conjoint\"  data-calculation=\"0\">Spouse<\/option><option value=\"Fille\"  data-calculation=\"0\">Daughter<\/option><option value=\"Fils\"  data-calculation=\"0\">Son<\/option><option value=\"soeur\"  data-calculation=\"0\">Sister<\/option><option value=\"Fr\u00e8re\"  data-calculation=\"0\">Brother<\/option><option value=\"Papa\"  data-calculation=\"0\">Father<\/option><option value=\"M\u00e8re\"  data-calculation=\"0\">Mother<\/option><option value=\"Neveu\"  data-calculation=\"0\">Nephew<\/option><\/select><\/div><\/div><div id=\"date-8\" class=\"forminator-field-date forminator-col forminator-col-3 \"><div class=\"forminator-field\"><label for=\"forminator-field-date-8-picker_69d097d901e78\" id=\"forminator-field-date-8-picker_69d097d901e78-label\" class=\"forminator-label\">Date of Birth<\/label><div class=\"forminator-input-with-icon\"><span class=\"forminator-icon-calendar\" aria-hidden=\"true\"><\/span><input autocomplete=\"off\" type=\"text\" size=\"1\" name=\"date-8\" value=\"\" placeholder=\"\" id=\"forminator-field-date-8-picker_69d097d901e78\" class=\"forminator-input forminator-datepicker\" data-required=\"\" data-format=\"yy\/mm\/dd\" data-restrict-type=\"\" data-restrict=\"\" data-start-year=\"1900\" data-end-year=\"2126\" data-past-dates=\"enable\" data-start-of-week=\"1\" data-start-date=\"01\/01\/1900\" data-end-date=\"\" data-start-field=\"\" data-end-field=\"\" data-start-offset=\"\" data-end-offset=\"\" data-disable-date=\"\" data-disable-range=\"\" \/><\/div><\/div><\/div><\/div><\/div><\/div><div\n\t\t\t\ttabindex=\"-1\"\n\t\t\t\trole=\"tabpanel\"\n\t\t\t\tid=\"forminator-custom-form-3325--page-2\"\n\t\t\t\tclass=\"forminator-pagination\"\n\t\t\t\taria-labelledby=\"forminator-custom-form-3325--page-2-label\"\n\t\t\t\taria-hidden=\"true\"\n\t\t\t\tdata-step=\"2\"\n\t\t\t\tdata-label=\"Page  2\"\n\t\t\t\tdata-actual-label=\"End\"\n\t\t\t\tdata-name=\"\"\n\t\t\t\thidden\n\t\t\t><div class=\"forminator-pagination--content\"><div class=\"forminator-row\"><div id=\"section-3\" class=\"forminator-field-section forminator-col forminator-col-12 \"><div class=\"forminator-field\"><h2 class=\"forminator-title\">Actual Housing<\/h2><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"number-1\" class=\"forminator-field-number forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-number-1_69d097d901e78\" id=\"forminator-field-number-1_69d097d901e78-label\" class=\"forminator-label\"> Monthly rent <span class=\"forminator-required\">*<\/span><\/label><input name=\"number-1\" value=\"\" placeholder=\"\" id=\"forminator-field-number-1_69d097d901e78\" class=\"forminator-input forminator-number--field\" inputmode=\"decimal\" data-required=\"1\" data-decimals=\"0\" aria-required=\"true\" data-inputmask=\"&#039;groupSeparator&#039;: &#039;&#039;, &#039;radixPoint&#039;: &#039;&#039;, &#039;digits&#039;: &#039;0&#039;\" type=\"number\" step=\"any\" min=\"\" \/><\/div><\/div><div id=\"number-2\" class=\"forminator-field-number forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-number-2_69d097d901e78\" id=\"forminator-field-number-2_69d097d901e78-label\" class=\"forminator-label\">Number of bedrooms<\/label><input name=\"number-2\" value=\"\" placeholder=\"\" id=\"forminator-field-number-2_69d097d901e78\" class=\"forminator-input forminator-number--field\" inputmode=\"decimal\" data-required=\"\" data-decimals=\"0\" aria-required=\"false\" data-inputmask=\"&#039;groupSeparator&#039;: &#039;&#039;, &#039;radixPoint&#039;: &#039;&#039;, &#039;digits&#039;: &#039;0&#039;\" type=\"number\" step=\"any\" min=\"0\" max=\"10\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-4\" class=\"forminator-field-text forminator-col forminator-col-3 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-4_69d097d901e78\" id=\"forminator-field-text-4_69d097d901e78-label\" class=\"forminator-label\">Home number <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"text-4\" value=\"\" placeholder=\"\" id=\"forminator-field-text-4_69d097d901e78\" class=\"forminator-input forminator-name--field\" data-required=\"1\" maxlength=\"10\" \/><span id=\"forminator-field-text-4_69d097d901e78-description\" class=\"forminator-description\"><span data-limit=\"10\" data-type=\"characters\">0 \/ 10<\/span><\/span><\/div><\/div><div id=\"text-5\" class=\"forminator-field-text forminator-col forminator-col-3 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-5_69d097d901e78\" id=\"forminator-field-text-5_69d097d901e78-label\" class=\"forminator-label\">Suffix<\/label><input type=\"text\" name=\"text-5\" value=\"\" placeholder=\"\" id=\"forminator-field-text-5_69d097d901e78\" class=\"forminator-input forminator-name--field\" data-required=\"\" maxlength=\"5\" \/><span id=\"forminator-field-text-5_69d097d901e78-description\" class=\"forminator-description\"><span data-limit=\"5\" data-type=\"characters\">0 \/ 5<\/span><\/span><\/div><\/div><div id=\"text-6\" class=\"forminator-field-text forminator-col forminator-col-3 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-6_69d097d901e78\" id=\"forminator-field-text-6_69d097d901e78-label\" class=\"forminator-label\">Unit number<\/label><input type=\"text\" name=\"text-6\" value=\"\" placeholder=\"\" id=\"forminator-field-text-6_69d097d901e78\" class=\"forminator-input forminator-name--field\" data-required=\"\" maxlength=\"20\" \/><span id=\"forminator-field-text-6_69d097d901e78-description\" class=\"forminator-description\"><span data-limit=\"20\" data-type=\"characters\">0 \/ 20<\/span><\/span><\/div><\/div><div id=\"text-7\" class=\"forminator-field-text forminator-col forminator-col-3 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-7_69d097d901e78\" id=\"forminator-field-text-7_69d097d901e78-label\" class=\"forminator-label\">Street  <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"text-7\" value=\"\" placeholder=\"\" id=\"forminator-field-text-7_69d097d901e78\" class=\"forminator-input forminator-name--field\" data-required=\"1\" maxlength=\"255\" \/><span id=\"forminator-field-text-7_69d097d901e78-description\" class=\"forminator-description\"><span data-limit=\"255\" data-type=\"characters\">0 \/ 255<\/span><\/span><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-8\" class=\"forminator-field-text forminator-col forminator-col-3 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-8_69d097d901e78\" id=\"forminator-field-text-8_69d097d901e78-label\" class=\"forminator-label\">City <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"text-8\" value=\"\" placeholder=\"\" id=\"forminator-field-text-8_69d097d901e78\" class=\"forminator-input forminator-name--field\" data-required=\"1\" maxlength=\"50\" \/><span id=\"forminator-field-text-8_69d097d901e78-description\" class=\"forminator-description\"><span data-limit=\"50\" data-type=\"characters\">0 \/ 50<\/span><\/span><\/div><\/div><div id=\"text-9\" class=\"forminator-field-text forminator-col forminator-col-3 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-9_69d097d901e78\" id=\"forminator-field-text-9_69d097d901e78-label\" class=\"forminator-label\">Province <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"text-9\" value=\"\" placeholder=\"\" id=\"forminator-field-text-9_69d097d901e78\" class=\"forminator-input forminator-name--field\" data-required=\"1\" maxlength=\"50\" \/><span id=\"forminator-field-text-9_69d097d901e78-description\" class=\"forminator-description\"><span data-limit=\"50\" data-type=\"characters\">0 \/ 50<\/span><\/span><\/div><\/div><div id=\"text-10\" class=\"forminator-field-text forminator-col forminator-col-3 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-10_69d097d901e78\" id=\"forminator-field-text-10_69d097d901e78-label\" class=\"forminator-label\">Postal code <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"text-10\" value=\"\" placeholder=\"\" id=\"forminator-field-text-10_69d097d901e78\" class=\"forminator-input forminator-name--field\" data-required=\"1\" maxlength=\"7\" \/><span id=\"forminator-field-text-10_69d097d901e78-description\" class=\"forminator-description\"><span data-limit=\"7\" data-type=\"characters\">0 \/ 7<\/span><\/span><\/div><\/div><div id=\"text-11\" class=\"forminator-field-text forminator-col forminator-col-3 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-11_69d097d901e78\" id=\"forminator-field-text-11_69d097d901e78-label\" class=\"forminator-label\">Country <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"text-11\" value=\"\" placeholder=\"\" id=\"forminator-field-text-11_69d097d901e78\" class=\"forminator-input forminator-name--field\" data-required=\"1\" maxlength=\"50\" \/><span id=\"forminator-field-text-11_69d097d901e78-description\" class=\"forminator-description\"><span data-limit=\"50\" data-type=\"characters\">0 \/ 50<\/span><\/span><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"checkbox-3\" class=\"forminator-field-checkbox forminator-col forminator-col-6 \"><div role=\"group\" class=\"forminator-field\" aria-labelledby=\"forminator-checkbox-group-forminator-field-checkbox-3-69d097d901e78-label\"><span id=\"forminator-checkbox-group-forminator-field-checkbox-3-69d097d901e78-label\" class=\"forminator-label\">Is the housing in good conditions?<\/span><label id=\"forminator-field-checkbox-3-1-69d097d901e78-label\" for=\"forminator-field-checkbox-3-1-69d097d901e78\" class=\"forminator-checkbox forminator-checkbox-inline\" title=\"Yes\"><input type=\"checkbox\" name=\"checkbox-3[]\" value=\"oui\" id=\"forminator-field-checkbox-3-1-69d097d901e78\" aria-labelledby=\"forminator-field-checkbox-3-1-69d097d901e78-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">Yes<\/span><\/label><label id=\"forminator-field-checkbox-3-2-69d097d901e78-label\" for=\"forminator-field-checkbox-3-2-69d097d901e78\" class=\"forminator-checkbox forminator-checkbox-inline\" title=\"No\"><input type=\"checkbox\" name=\"checkbox-3[]\" value=\"non\" id=\"forminator-field-checkbox-3-2-69d097d901e78\" aria-labelledby=\"forminator-field-checkbox-3-2-69d097d901e78-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">No<\/span><\/label><\/div><\/div><div id=\"checkbox-4\" class=\"forminator-field-checkbox forminator-col forminator-col-6 \"><div role=\"group\" class=\"forminator-field\" aria-labelledby=\"forminator-checkbox-group-forminator-field-checkbox-4-69d097d901e78-label\"><span id=\"forminator-checkbox-group-forminator-field-checkbox-4-69d097d901e78-label\" class=\"forminator-label\"> Is it an assignment of lease?<\/span><label id=\"forminator-field-checkbox-4-1-69d097d901e78-label\" for=\"forminator-field-checkbox-4-1-69d097d901e78\" class=\"forminator-checkbox forminator-checkbox-inline\" title=\"Yes\"><input type=\"checkbox\" name=\"checkbox-4[]\" value=\"oui\" id=\"forminator-field-checkbox-4-1-69d097d901e78\" aria-labelledby=\"forminator-field-checkbox-4-1-69d097d901e78-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">Yes<\/span><\/label><label id=\"forminator-field-checkbox-4-2-69d097d901e78-label\" for=\"forminator-field-checkbox-4-2-69d097d901e78\" class=\"forminator-checkbox forminator-checkbox-inline\" title=\"No\"><input type=\"checkbox\" name=\"checkbox-4[]\" value=\"non\" id=\"forminator-field-checkbox-4-2-69d097d901e78\" aria-labelledby=\"forminator-field-checkbox-4-2-69d097d901e78-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">No<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"textarea-1\" class=\"forminator-field-textarea forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-textarea-1_69d097d901e78\" id=\"forminator-field-textarea-1_69d097d901e78-label\" class=\"forminator-label\">If not, explain<\/label><textarea name=\"textarea-1\" placeholder=\"\" id=\"forminator-field-textarea-1_69d097d901e78\" class=\"forminator-textarea\" rows=\"6\" style=\"min-height:40px;\" ><\/textarea><\/div><\/div><div id=\"checkbox-5\" class=\"forminator-field-checkbox forminator-col forminator-col-6 \"><div role=\"group\" class=\"forminator-field\" aria-labelledby=\"forminator-checkbox-group-forminator-field-checkbox-5-69d097d901e78-label\"><span id=\"forminator-checkbox-group-forminator-field-checkbox-5-69d097d901e78-label\" class=\"forminator-label\"> Item(s) included in the rent<\/span><label id=\"forminator-field-checkbox-5-1-69d097d901e78-label\" for=\"forminator-field-checkbox-5-1-69d097d901e78\" class=\"forminator-checkbox forminator-checkbox-inline\" title=\"Heat\"><input type=\"checkbox\" name=\"checkbox-5[]\" value=\"Chauffage\" id=\"forminator-field-checkbox-5-1-69d097d901e78\" aria-labelledby=\"forminator-field-checkbox-5-1-69d097d901e78-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">Heat<\/span><\/label><label id=\"forminator-field-checkbox-5-2-69d097d901e78-label\" for=\"forminator-field-checkbox-5-2-69d097d901e78\" class=\"forminator-checkbox forminator-checkbox-inline\" title=\"Hot Water\"><input type=\"checkbox\" name=\"checkbox-5[]\" value=\"Eau chaude\" id=\"forminator-field-checkbox-5-2-69d097d901e78\" aria-labelledby=\"forminator-field-checkbox-5-2-69d097d901e78-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">Hot Water<\/span><\/label><label id=\"forminator-field-checkbox-5-3-69d097d901e78-label\" for=\"forminator-field-checkbox-5-3-69d097d901e78\" class=\"forminator-checkbox forminator-checkbox-inline\" title=\"Electricity\"><input type=\"checkbox\" name=\"checkbox-5[]\" value=\"\u00c9lectricit\u00e9\" id=\"forminator-field-checkbox-5-3-69d097d901e78\" aria-labelledby=\"forminator-field-checkbox-5-3-69d097d901e78-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">Electricity<\/span><\/label><label id=\"forminator-field-checkbox-5-4-69d097d901e78-label\" for=\"forminator-field-checkbox-5-4-69d097d901e78\" class=\"forminator-checkbox forminator-checkbox-inline\" title=\"Oven\"><input type=\"checkbox\" name=\"checkbox-5[]\" value=\"Po\u00eale\" id=\"forminator-field-checkbox-5-4-69d097d901e78\" aria-labelledby=\"forminator-field-checkbox-5-4-69d097d901e78-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">Oven<\/span><\/label><label id=\"forminator-field-checkbox-5-5-69d097d901e78-label\" for=\"forminator-field-checkbox-5-5-69d097d901e78\" class=\"forminator-checkbox forminator-checkbox-inline\" title=\" Fridge\"><input type=\"checkbox\" name=\"checkbox-5[]\" value=\"Frigidaire\" id=\"forminator-field-checkbox-5-5-69d097d901e78\" aria-labelledby=\"forminator-field-checkbox-5-5-69d097d901e78-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\"> Fridge<\/span><\/label><label id=\"forminator-field-checkbox-5-6-69d097d901e78-label\" for=\"forminator-field-checkbox-5-6-69d097d901e78\" class=\"forminator-checkbox forminator-checkbox-inline\" title=\"Parking\"><input type=\"checkbox\" name=\"checkbox-5[]\" value=\"Stationnement\" id=\"forminator-field-checkbox-5-6-69d097d901e78\" aria-labelledby=\"forminator-field-checkbox-5-6-69d097d901e78-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">Parking<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"checkbox-6\" class=\"forminator-field-checkbox forminator-col forminator-col-12 \"><div role=\"group\" class=\"forminator-field required\" aria-labelledby=\"forminator-checkbox-group-forminator-field-checkbox-6-69d097d901e78-label\"><span id=\"forminator-checkbox-group-forminator-field-checkbox-6-69d097d901e78-label\" class=\"forminator-label\"> I certify that the information provided is true and complete. <span class=\"forminator-required\">*<\/span><\/span><label id=\"forminator-field-checkbox-6-1-69d097d901e78-label\" for=\"forminator-field-checkbox-6-1-69d097d901e78\" class=\"forminator-checkbox\" title=\"Yes\"><input type=\"checkbox\" name=\"checkbox-6[]\" value=\"oui\" id=\"forminator-field-checkbox-6-1-69d097d901e78\" aria-labelledby=\"forminator-field-checkbox-6-1-69d097d901e78-label\" data-calculation=\"0\"   aria-describedby=\"forminator-field-checkbox-6-69d097d901e78-description\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">Yes<\/span><\/label><span id=\"forminator-field-checkbox-6-69d097d901e78-description\" class=\"forminator-description\"> I authorize ROMEL to make all the checks it deems necessary. It is understood that this information is confidential and will only be used for the purposes of the said housing search request. Consequently, this information may be shared with housing co-operatives or non-profit social housing organizations. I understand that this request does not constitute an obligation for ROMEL, a cooperative nor a housing organization to provide me with housing. I undertake to update my application each year to ROMEL, otherwise my application will be deleted.<\/span><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"captcha-1\" class=\"forminator-field-captcha forminator-col forminator-col-12 \"><div class=\"forminator-captcha-left forminator-g-recaptcha\" data-theme=\"light\"  data-sitekey=\"6LcHtssZAAAAADjSGrv_7fmCsbsOd3McUmLwl6gz\" data-size=\"normal\"><\/div> <\/div><\/div><\/div><button class=\"forminator-button forminator-pagination-submit\" style=\"display: none;\" disabled>SEND<\/button><\/div><input type=\"hidden\" name=\"referer_url\" value=\"\" \/><input type=\"hidden\" id=\"forminator_nonce\" name=\"forminator_nonce\" value=\"a933909d42\" \/><input type=\"hidden\" name=\"_wp_http_referer\" value=\"\/en\/wp-json\/wp\/v2\/pages\/3532\" \/><input type=\"hidden\" name=\"form_id\" value=\"3325\"><input type=\"hidden\" name=\"page_id\" value=\"3532\"><input type=\"hidden\" name=\"form_type\" value=\"\"><input type=\"hidden\" name=\"current_url\" value=\"https:\/\/romel-montreal.ca\/en\/housing-application\/\"><input type=\"hidden\" name=\"render_id\" value=\"0\"><input type=\"hidden\" name=\"action\" value=\"forminator_submit_form_custom-forms\"><\/form><div class=\"fusion-clearfix\"><\/div><\/div><\/div><\/div><\/div>\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":3,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-3532","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/romel-montreal.ca\/en\/wp-json\/wp\/v2\/pages\/3532","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/romel-montreal.ca\/en\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/romel-montreal.ca\/en\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/romel-montreal.ca\/en\/wp-json\/wp\/v2\/users\/3"}],"replies":[{"embeddable":true,"href":"https:\/\/romel-montreal.ca\/en\/wp-json\/wp\/v2\/comments?post=3532"}],"version-history":[{"count":4,"href":"https:\/\/romel-montreal.ca\/en\/wp-json\/wp\/v2\/pages\/3532\/revisions"}],"predecessor-version":[{"id":3602,"href":"https:\/\/romel-montreal.ca\/en\/wp-json\/wp\/v2\/pages\/3532\/revisions\/3602"}],"wp:attachment":[{"href":"https:\/\/romel-montreal.ca\/en\/wp-json\/wp\/v2\/media?parent=3532"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}