Promise of Truth

I swear that all answers given on the Pre-Assessment and Application form I provided to the BC Rent Bank (“BCRB”) are true, the whole truth and nothing but the truth. I understand and acknowledge that any misrepresentation of my circumstances, financial or otherwise will lead to automatic ineligibility.

Consent

I have requested support from the BC Rent Bank program. I authorize my regional rent bank coordinator or representatives to represent me and advocate on my behalf in dealings with financial institutions, employers, landlords, utility companies and any other third party that my regional rent bank coordinator and/or staff deem necessary for the purpose of the BC Rent Bank program. I authorize those third parties to disclose to my regional rent bank coordinator and/or staff necessary personal information. If I am successful to receive the loan, I consent to receiving a follow up survey at 6 and 12 month periods by email, SMS, or phone call to assess the impact of the loan for program success measurement purposes.

Liability Release

I hold harmless and release from all liability the BC Rent Bank and any of its employees, partner agencies or funders for anything done or omitted to be done in the course of providing me services. I understand and acknowledge that BC Rent Bank cannot guarantee and is not responsible for my current or future housing circumstance. You are responsible for your own housing, we will do our best to help, but cannot guarantee any results.