Silvera for Seniors

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Application for Supportive Living Checklist

Thank you for expressing interest in Silvera for Seniors. The following information will assist you in completing your application for subsidized housing accommodation.

Silvera is a major provider of affordable independent and supportive living accommodation in Calgary. We are a not for profit organization providing a comfortable, home-like environment for functionally independent seniors. Applicants are assessed on a priority rating system to determine need in terms of risk factors, independence and current housing.

To apply for accommodation please complete the following:

1. Please complete the online application form (see below) through steps 1 – 5 and then press SUBMIT after completing step 5.

Please note: For a couple, two separate applications would be required.

2. Print out and complete Authorization Form (see below). Return to Silvera by fax, email or mail.
Fax:
403.276.9152
Email:
placement@silvera.ca
Mail:
Silvera for Seniors
804, 7015 Macleod Trail SW
Calgary, AB T2H 2K6
Attn: Placement

3. Please provide income proof – Notice of Assessment from the most recent Tax year. If you do not have a copy you can contact the Canada Revenue Agency (CRA) at 1-800-959-8281 for a copy.

Please note: when you fax, email or mail in your Notice of Assessment, please ensure you have your contact information on the sheet in order for us to follow up.

Click here to view a sample of Notice of Assessment

Print out and complete Medical Report (see below), if currently in hospital, rehabilitation or if a medical has been requested by Silvera for Seniors. Have your doctor complete the confidential medical report *Your Doctor can return it directly to the Silvera main office by mail, fax or email.

Medical Report Authorization Form
* Required for all applications

Privacy Notification Statement

This personal information is being collected under the authority of the Alberta Housing Act and will be used to determine need and allocation of housing.

Collected personal information is protected from unauthorized access, collection, use, and disclosure in accordance with Alberta privacy legislation and can be reviewed or corrected upon request.

Questions regarding the collection of personal information can be directed to:

FOIP Coordinator
Silvera for Seniors
Main Office
Suite 804, 7015 Macleod Trail SW, Calgary AB T2H 2K6
Phone: 403-276-5541 Fax: 403-276-9152 Email: contact@silvera.ca

 

If you wish to complete the form offline, please download the form.

* Please note: You must have Adobe Acrobat Reader installed on your computer, or a comparable
PDF reader to download the form.

If you wish to complete the form online, you will want to ensure your information is saved as you work through the steps.To ensure your information is saved throughout the application, please use the Next and Previous links to move between the pages.

 

  • Step 1
  • Step 2
  • Step 3
  • Step 4
  • Step 5
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Step 1

Application for Supportive Living Accommodation

  • CO-APPLICANT (spouse or partner will need to fill out a separate application)

  • If you are filling out this application for someone other than yourself, please complete this section.

  • Next 1 / 6
 

Basic Information

  • PRESENT ACCOMMODATION

  • Next 2 / 6
 

Health

  • (The following questions provide information to ensure that our communities adequately meet your Health needs – please be aware that a Medical may be requested.)
  • Do you have any of the following:

  • In the last year, have you:

  • Do you use the following mobility aids?

  • Next 3 / 6
 

COMMUNITY PREFERRED

  • Next 4 / 6
 

Alternate Contacts

  • If we are unable to reach the applicant, this contact would be used.
  • Next 5 / 6
 

Supporting Documentation

 

Fieldset

     

    Verification

    • 6 / 6
     
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