{"id":39,"date":"2024-02-20T20:58:34","date_gmt":"2024-02-20T20:58:34","guid":{"rendered":"https:\/\/housingdevelopment.county-lambton.on.ca\/?page_id=39"},"modified":"2024-12-02T15:34:49","modified_gmt":"2024-12-02T20:34:49","slug":"housing-application","status":"publish","type":"page","link":"https:\/\/housingdevelopment.county-lambton.on.ca\/fr\/housing-application\/","title":{"rendered":"Demande de logement"},"content":{"rendered":"<div class=\"wpb-content-wrapper\"><div class=\"vc_row wpb_row vc_row-fluid\"><style type=\"text\/css\"><\/style>     <script type=\"text\/javascript\">\n        document.addEventListener('DOMContentLoaded', function () {\n            \/\/ Function to delete a specific cookie\n            function deleteCookie(name) {\n                document.cookie = name + '=; Max-Age=-99999999;';\n            }\n\n            \/\/ Function to get all cookies\n            function getCookies() {\n                var cookies = {};\n                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#112337;--gf-ctrl-label-color-secondary: #112337;--gf-ctrl-choice-size: var(--gf-ctrl-choice-size-md);--gf-ctrl-checkbox-check-size: var(--gf-ctrl-checkbox-check-size-md);--gf-ctrl-radio-check-size: var(--gf-ctrl-radio-check-size-md);--gf-ctrl-btn-font-size: var(--gf-ctrl-btn-font-size-md);--gf-ctrl-btn-padding-x: var(--gf-ctrl-btn-padding-x-md);--gf-ctrl-btn-size: var(--gf-ctrl-btn-size-md);--gf-ctrl-btn-border-color-secondary: #686e77;--gf-ctrl-file-btn-bg-color-hover: #EBEBEB;--gf-field-img-choice-size: var(--gf-field-img-choice-size-md);--gf-field-img-choice-card-space: var(--gf-field-img-choice-card-space-md);--gf-field-img-choice-check-ind-size: var(--gf-field-img-choice-check-ind-size-md);--gf-field-img-choice-check-ind-icon-size: var(--gf-field-img-choice-check-ind-icon-size-md);--gf-field-pg-steps-number-color: rgba(17, 35, 55, 0.8);}<\/style><div id='gf_5' class='gform_anchor' tabindex='-1'><\/div><form method='post' enctype='multipart\/form-data'  id='gform_5'  action='\/fr\/wp-json\/wp\/v2\/pages\/39#gf_5' data-formid='5' novalidate autocomplete=\"off\"><input id=\"gpnf_session_hash_5\" type=\"hidden\" name=\"gpnf_session_hash\" value=\"40e0c1f1714f\" autocomplete=\"off\"><input type=\"hidden\" value=\"0\" name=\"gpps_page_progression_5\" \/> \r\n <input type='hidden' class='gforms-pum' value='{\"closepopup\":false,\"closedelay\":0,\"openpopup\":false,\"openpopup_id\":0}' \/>\n        <div id='gf_progressbar_wrapper_5' class='gf_progressbar_wrapper' data-start-at-zero=''>\n        \t<p class=\"gf_progressbar_title\">\u00c9tape <span class='gf_step_current_page'>1<\/span> de <span class='gf_step_page_count'>13<\/span><span class='gf_step_page_name'><\/span>\n        \t<\/p>\n            <div class='gf_progressbar gf_progressbar_blue' aria-hidden='true'>\n                <div class='gf_progressbar_percentage percentbar_blue percentbar_7' style='width:7%;'><span>7%<\/span><\/div>\n            <\/div><\/div>\n                        <div class='gform-body gform_body'><div id='gform_page_5_1' class='gform_page ' data-js='page-field-id-0' >\n                                    <div class='gform_page_fields'><div id='gform_fields_5' class='gform_fields top_label form_sublabel_below description_above validation_below'><div id=\"field_5_177\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_hidden\"  data-js-reload=\"field_5_177\" ><div class=\"admin-hidden-markup\"><i class=\"gform-icon gform-icon--hidden\" aria-hidden=\"true\" title=\"This field is hidden when viewing the form\"><\/i><span>This field is hidden when viewing the form<\/span><\/div><label class='gfield_label gform-field-label' for='input_5_177'>Unique ID<\/label><div class='ginput_container ginput_container_text'><input autocomplete=\"off\"  name='input_177' id='input_5_177' type='text' value='69f1950ba2ad2' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_5_200\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_5_200\" ><center><p>To determine your eligibility to move in or add a member to an existing household, please fill out the form below.<\/p><\/center><\/div><div id=\"field_5_195\" class=\"gfield gfield--type-hidden gfield--input-type-hidden gfield--width-full gform_hidden field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_5_195\" ><div class='ginput_container ginput_container_text'><input autocomplete=\"off\"  name='input_195' id='input_5_195' type='hidden' class='gform_hidden'  aria-invalid=\"false\" value='New' \/><\/div><\/div><div id=\"field_5_69\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_hidden\"  data-js-reload=\"field_5_69\" ><div class=\"admin-hidden-markup\"><i class=\"gform-icon gform-icon--hidden\" aria-hidden=\"true\" title=\"This field is hidden when viewing the form\"><\/i><span>This field is hidden when viewing the form<\/span><\/div><label class='gfield_label gform-field-label' for='input_5_69'>Status<\/label><div class='ginput_container ginput_container_select'><select name='input_69' id='input_5_69' class='large gfield_select'     aria-invalid=\"false\" ><option value='New' selected='selected'>New<\/option><option value='Incomplete' >Incomplete<\/option><option value='Complete' >Complete<\/option><\/select><\/div><\/div><div id=\"field_5_104\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_5_104\" ><h3 class=\"gsection_title\">Applicant Information<\/h3><\/div><fieldset id=\"field_5_157\" class=\"gfield gfield--type-name gfield--input-type-name gfield--width-full copy-157-to-187 gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_5_157\" ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Legal Name<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(N\u00e9cessaire)<\/span><\/span><\/legend><div class='ginput_complex ginput_container ginput_container--name no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name gform-grid-row' id='input_5_157'>\n                            \n                            <span id='input_5_157_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <input autocomplete=\"off\"  type='text' name='input_157.3' id='input_5_157_3' value=''   aria-required='true'     \/>\n                                                    <label for='input_5_157_3' class='gform-field-label gform-field-label--type-sub '>Pr\u00e9nom<\/label>\n                                                <\/span>\n                            \n                            <span id='input_5_157_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                    <input autocomplete=\"off\"  type='text' name='input_157.6' id='input_5_157_6' value=''   aria-required='true'     \/>\n                                                    <label for='input_5_157_6' class='gform-field-label gform-field-label--type-sub '>Nom<\/label>\n                                                <\/span>\n                            \n                        <\/div><\/fieldset><div id=\"field_5_106\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_5_106\" ><label class='gfield_label gform-field-label' for='input_5_106'>Preferred Name (Optional)<\/label><div class='ginput_container ginput_container_text'><input autocomplete=\"off\"  name='input_106' id='input_5_106' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_5_107\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_5_107\" ><label class='gfield_label gform-field-label' for='input_5_107'>Gender<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(N\u00e9cessaire)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_107' id='input_5_107' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>Please select your gender<\/option><option value='Male' >Male<\/option><option value='Female' >Female<\/option><option value='Other' >Other<\/option><option value='Prefer Not to Say' >Prefer Not to Say<\/option><\/select><\/div><\/div><div id=\"field_5_108\" class=\"gfield gfield--type-date gfield--input-type-date gfield--input-type-datepicker gfield--datepicker-no-icon gfield--width-half gcldf-field gcldf-field-date gcldf-date-format-dmy gfield_trigger_change gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_5_108\" ><label class='gfield_label gform-field-label' for='input_5_108'>Date of Birth<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(N\u00e9cessaire)<\/span><\/span><\/label><div class='ginput_container ginput_container_date'>\n                            <input autocomplete=\"off\"  name='input_108' id='input_5_108' type='text' value='' class='datepicker gform-datepicker dmy datepicker_no_icon gdatepicker-no-icon'   placeholder='dd\/mm\/yyyy' aria-describedby=\"input_5_108_date_format\" aria-invalid=\"false\" aria-required=\"true\"\/>\n                            <span id='input_5_108_date_format' class='screen-reader-text'>DD slash MM slash YYYY<\/span>\n                        <\/div>\n                        <input autocomplete=\"off\"  type='hidden' id='gforms_calendar_icon_input_5_108' class='gform_hidden' value='https:\/\/housingdevelopment.county-lambton.on.ca\/wp-content\/plugins\/gravityforms\/images\/datepicker\/datepicker.svg'\/><\/div><div id=\"field_5_109\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_5_109\" ><label class='gfield_label gform-field-label' for='input_5_109'>Social Insurance Number<\/label><div class='ginput_container ginput_container_text'><input autocomplete=\"off\"  name='input_109' id='input_5_109' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_5_227\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_5_227\" ><div>Sorry... You must be at least 16 years of age to complete this application<\/div><\/div><div id=\"field_5_226\" class=\"gfield gfield--type-number gfield--input-type-number gfield--width-full gfield_calculation field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_hidden\"  data-js-reload=\"field_5_226\" ><div class=\"admin-hidden-markup\"><i class=\"gform-icon gform-icon--hidden\" aria-hidden=\"true\" title=\"This field is hidden when viewing the form\"><\/i><span>This field is hidden when viewing the form<\/span><\/div><label class='gfield_label gform-field-label' for='input_5_226'>Age (years)<\/label><div class='ginput_container ginput_container_number'><input autocomplete=\"off\"  name='input_226' id='input_5_226' type='text' step='any'   value='' class='large'  readonly=\"readonly\"    aria-invalid=\"false\"  \/><\/div><\/div><div id=\"field_5_151\" class=\"gfield gfield--type-phone gfield--input-type-phone gfield--width-third field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_5_151\" ><label class='gfield_label gform-field-label' for='input_5_151'>Home Phone Number<\/label><div class='ginput_container ginput_container_phone'><input autocomplete=\"off\"  name='input_151' id='input_5_151' type='tel' value='' class='large'    aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_5_203\" class=\"gfield gfield--type-phone gfield--input-type-phone gfield--width-third field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_5_203\" ><label class='gfield_label gform-field-label' for='input_5_203'>Cell Phone Number<\/label><div class='ginput_container ginput_container_phone'><input autocomplete=\"off\"  name='input_203' id='input_5_203' type='tel' value='' class='large'    aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_5_202\" class=\"gfield gfield--type-phone gfield--input-type-phone gfield--width-third field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_5_202\" ><label class='gfield_label gform-field-label' for='input_5_202'>Work Phone Number<\/label><div class='ginput_container ginput_container_phone'><input autocomplete=\"off\"  name='input_202' id='input_5_202' type='tel' value='' class='large'    aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_5_167\" class=\"gfield gfield--type-fileupload gfield--input-type-fileupload gfield--width-full gfield_contains_required field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_5_167\" ><label class='gfield_label gform-field-label' for='input_5_167'>Proof of Canadian Citizenship<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(N\u00e9cessaire)<\/span><\/span><\/label><div class='gfield_description' id='gfield_description_5_167'>Please upload proof of Canadian Status\/Citizenship for this member of the household. Examples include Passport, Birth Certificate, Permanent Resident Card.\n<\/br><\/br>\n* Driver's Licenses, Health Cards and Photo ID cards are not accepted.<\/div><div class='ginput_container ginput_container_fileupload'><input autocomplete=\"off\"  type='hidden' name='MAX_FILE_SIZE' value='10485760' \/><input autocomplete=\"off\"  name='input_167' id='input_5_167' type='file' class='large' aria-describedby=\"gfield_upload_rules_5_167 gfield_description_5_167\" onchange='javascript:gformValidateFileSize( this, 10485760 );'  \/><span class='gfield_description gform_fileupload_rules' id='gfield_upload_rules_5_167'>Types de fichier accept\u00e9s\u00a0: jpg, jpeg, gif, png, heic, pdf, doc, docx, Taille maximum des fichiers : 10 MB.<\/span><div class='gfield_description validation_message gfield_validation_message validation_message--hidden-on-empty' id='live_validation_message_5_167'><\/div><\/div><\/div><fieldset id=\"field_5_166\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield--width-half field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_5_166\" ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Pregnancy<\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_5_166'><div class='gchoice gchoice_5_166_1'>\n\t\t\t\t\t\t\t\t<input autocomplete=\"off\"  class='gfield-choice-input' name='input_166.1' type='checkbox'  value='I am expecting a baby'  id='choice_5_166_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_166_1' id='label_5_166_1' class='gform-field-label gform-field-label--type-inline'>I am expecting a baby<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_5_168\" class=\"gfield gfield--type-date gfield--input-type-date gfield--input-type-datepicker gfield--datepicker-no-icon gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_5_168\" ><label class='gfield_label gform-field-label' for='input_5_168'>Expected Due Date<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(N\u00e9cessaire)<\/span><\/span><\/label><div class='ginput_container ginput_container_date'>\n                            <input autocomplete=\"off\"  name='input_168' id='input_5_168' type='text' value='' class='datepicker gform-datepicker dmy datepicker_no_icon gdatepicker-no-icon'   placeholder='dd\/mm\/yyyy' aria-describedby=\"input_5_168_date_format\" aria-invalid=\"false\" aria-required=\"true\"\/>\n                            <span id='input_5_168_date_format' class='screen-reader-text'>DD slash MM slash YYYY<\/span>\n                        <\/div>\n                        <input autocomplete=\"off\"  type='hidden' id='gforms_calendar_icon_input_5_168' class='gform_hidden' value='https:\/\/housingdevelopment.county-lambton.on.ca\/wp-content\/plugins\/gravityforms\/images\/datepicker\/datepicker.svg'\/><\/div><div id=\"field_5_169\" class=\"gfield gfield--type-fileupload gfield--input-type-fileupload gfield--width-full field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_5_169\" ><label class='gfield_label gform-field-label' for='input_5_169'>Proof of Pregnancy<\/label><div class='gfield_description' id='gfield_description_5_169'>Letter from your doctor or healthcare professional confirming your pregnancy and estimated due date<\/div><div class='ginput_container ginput_container_fileupload'><input autocomplete=\"off\"  type='hidden' name='MAX_FILE_SIZE' value='10485760' \/><input autocomplete=\"off\"  name='input_169' id='input_5_169' type='file' class='large' aria-describedby=\"gfield_upload_rules_5_169 gfield_description_5_169\" onchange='javascript:gformValidateFileSize( this, 10485760 );'  \/><span class='gfield_description gform_fileupload_rules' id='gfield_upload_rules_5_169'>Types de fichier accept\u00e9s\u00a0: jpg, jpeg, gif, png, heic, pdf, doc, docx, Taille maximum des fichiers : 10 MB.<\/span><div class='gfield_description validation_message gfield_validation_message validation_message--hidden-on-empty' id='live_validation_message_5_169'><\/div><\/div><\/div><div id=\"field_5_143\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_5_143\" ><h3 class=\"gsection_title\">Current Address for <span data-gppa-live-merge-tag=\"@{Legal Name:157.3}\"><\/span> <span data-gppa-live-merge-tag=\"@{Legal Name:157.6}\"><\/span><\/h3><\/div><fieldset id=\"field_5_210\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield--width-full field_sublabel_below gfield--no-description field_description_above hidden_label field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_5_210\" ><legend class='gfield_label gform-field-label gfield_label_before_complex' >NFA<\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_5_210'><div class='gchoice gchoice_5_210_1'>\n\t\t\t\t\t\t\t\t<input autocomplete=\"off\"  class='gfield-choice-input' name='input_210.1' type='checkbox'  value='I currently have No Fixed Address'  id='choice_5_210_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_210_1' id='label_5_210_1' class='gform-field-label gform-field-label--type-inline'>I currently have No Fixed Address<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_5_208\" class=\"gfield gfield--type-address gfield--input-type-address gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_5_208\" ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Current Address<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(N\u00e9cessaire)<\/span><\/span><\/legend>    \n                    <div class='ginput_complex ginput_container has_street has_street2 has_city has_state has_zip has_country ginput_container_address gform-grid-row' id='input_5_208' >\n                         <span class='ginput_full address_line_1 ginput_address_line_1 gform-grid-col' id='input_5_208_1_container' >\n                                        <input autocomplete=\"off\"  type='text' name='input_208.1' id='input_5_208_1' value=''    aria-required='true'    \/>\n                                        <label for='input_5_208_1' id='input_5_208_1_label' class='gform-field-label gform-field-label--type-sub '>Adresse postale<\/label>\n                                    <\/span><span class='ginput_full address_line_2 ginput_address_line_2 gform-grid-col' id='input_5_208_2_container' >\n                                        <input autocomplete=\"off\"  type='text' name='input_208.2' id='input_5_208_2' value=''     aria-required='false'   \/>\n                                        <label for='input_5_208_2' id='input_5_208_2_label' class='gform-field-label gform-field-label--type-sub '>Unit Number<\/label>\n                                    <\/span><span class='ginput_left address_city ginput_address_city gform-grid-col' id='input_5_208_3_container' >\n                                    <input autocomplete=\"off\"  type='text' name='input_208.3' id='input_5_208_3' value=''    aria-required='true'    \/>\n                                    <label for='input_5_208_3' id='input_5_208_3_label' class='gform-field-label gform-field-label--type-sub '>Ville<\/label>\n                                 <\/span><span class='ginput_right address_state ginput_address_state gform-grid-col' id='input_5_208_4_container' >\n                                        <input autocomplete=\"off\"  type='text' name='input_208.4' id='input_5_208_4' value=''      aria-required='true'    \/>\n                                        <label for='input_5_208_4' id='input_5_208_4_label' class='gform-field-label gform-field-label--type-sub '>Province \/ State \/  Region<\/label>\n                                      <\/span><span class='ginput_left address_zip ginput_address_zip gform-grid-col' id='input_5_208_5_container' >\n                                    <input autocomplete=\"off\"  type='text' name='input_208.5' id='input_5_208_5' value=''    aria-required='true'    \/>\n                                    <label for='input_5_208_5' id='input_5_208_5_label' class='gform-field-label gform-field-label--type-sub '>Postal \/ Zip Code<\/label>\n                                <\/span><span class='ginput_right address_country ginput_address_country gform-grid-col' id='input_5_208_6_container' >\n                                        <select name='input_208.6' id='input_5_208_6'   aria-required='true'    ><option value='' selected='selected'><\/option><option value='Afghanistan' >Afghanistan<\/option><option value='Afrique du Sud' >Afrique du Sud<\/option><option value='Albanie' >Albanie<\/option><option value='Alg\u00e9rie' >Alg\u00e9rie<\/option><option value='Allemagne' >Allemagne<\/option><option value='Andorre' >Andorre<\/option><option value='Angola' >Angola<\/option><option value='Anguilla' >Anguilla<\/option><option value='Antarctique' >Antarctique<\/option><option value='Antigua-et-Barbuda' >Antigua-et-Barbuda<\/option><option value='Arabie Saoudite' >Arabie Saoudite<\/option><option value='Argentine' >Argentine<\/option><option value='Arm\u00e9nie' >Arm\u00e9nie<\/option><option value='Aruba' >Aruba<\/option><option value='Australie' >Australie<\/option><option value='Autriche' >Autriche<\/option><option value='Azerba\u00efdjan' >Azerba\u00efdjan<\/option><option value='Bahamas' >Bahamas<\/option><option value='Bahre\u00efn' >Bahre\u00efn<\/option><option value='Bangladesh' >Bangladesh<\/option><option value='Belarus' >Belarus<\/option><option value='Belgique' >Belgique<\/option><option value='Belize' >Belize<\/option><option value='Bermudes' >Bermudes<\/option><option value='Bhoutan' >Bhoutan<\/option><option value='Bolivie' >Bolivie<\/option><option value='Bonaire, Saint-Eustache et Saba' >Bonaire, Saint-Eustache et Saba<\/option><option value='Bosnie-Herz\u00e9govine' >Bosnie-Herz\u00e9govine<\/option><option value='Botswana' >Botswana<\/option><option value='Brunei Darussalam' >Brunei Darussalam<\/option><option value='Br\u00e9sil' >Br\u00e9sil<\/option><option value='Bulgarie' >Bulgarie<\/option><option value='Burkina Faso' >Burkina Faso<\/option><option value='Burundi' >Burundi<\/option><option value='B\u00e9nin' >B\u00e9nin<\/option><option value='Cambodge' >Cambodge<\/option><option value='Cameroun' >Cameroun<\/option><option value='Canada' >Canada<\/option><option value='Cap-Vert' >Cap-Vert<\/option><option value='Chili' >Chili<\/option><option value='Chine' >Chine<\/option><option value='Chypre' >Chypre<\/option><option value='Colombie' >Colombie<\/option><option value='Comores' >Comores<\/option><option value='Congo' >Congo<\/option><option value='Costa Rica' >Costa Rica<\/option><option value='Croatie' >Croatie<\/option><option value='Cuba' >Cuba<\/option><option value='Cura\u00e7ao' >Cura\u00e7ao<\/option><option value='Czechia' >Czechia<\/option><option value='C\u00f4te d\u2019Ivoire' >C\u00f4te d\u2019Ivoire<\/option><option value='Danemark' >Danemark<\/option><option value='Djibouti' >Djibouti<\/option><option value='Dominique' >Dominique<\/option><option value='Espagne' >Espagne<\/option><option value='Estonie' >Estonie<\/option><option value='Eswatini' >Eswatini<\/option><option value='Fidji' >Fidji<\/option><option value='Finlande' >Finlande<\/option><option value='France' >France<\/option><option value='Gabon' >Gabon<\/option><option value='Gambie' >Gambie<\/option><option value='Ghana' >Ghana<\/option><option value='Gibraltar' >Gibraltar<\/option><option value='Grenade' >Grenade<\/option><option value='Groenland' >Groenland<\/option><option value='Gr\u00e8ce' >Gr\u00e8ce<\/option><option value='Guadeloupe' >Guadeloupe<\/option><option value='Guam' >Guam<\/option><option value='Guatemala' >Guatemala<\/option><option value='Guernesey' >Guernesey<\/option><option value='Guin\u00e9e' >Guin\u00e9e<\/option><option value='Guin\u00e9e Fran\u00e7aise' >Guin\u00e9e Fran\u00e7aise<\/option><option value='Guin\u00e9e \u00e9quatoriale' >Guin\u00e9e \u00e9quatoriale<\/option><option value='Guin\u00e9e-Bissau' >Guin\u00e9e-Bissau<\/option><option value='Guyane' >Guyane<\/option><option value='G\u00e9orgie' >G\u00e9orgie<\/option><option value='Ha\u00efti' >Ha\u00efti<\/option><option value='Heard Island and McDonald Islands' >Heard Island and McDonald Islands<\/option><option value='Honduras' >Honduras<\/option><option value='Hong Kong' >Hong Kong<\/option><option value='Hongrie' >Hongrie<\/option><option value='Iles Aland' >Iles Aland<\/option><option value='Inde' >Inde<\/option><option value='Indon\u00e9sie' >Indon\u00e9sie<\/option><option value='Irak' >Irak<\/option><option value='Iran' >Iran<\/option><option value='Irlande' >Irlande<\/option><option value='Islande' >Islande<\/option><option value='Isra\u00ebl' >Isra\u00ebl<\/option><option value='Italie' >Italie<\/option><option value='Jama\u00efque' >Jama\u00efque<\/option><option value='Japon' >Japon<\/option><option value='Jersey' >Jersey<\/option><option value='Jordanie' >Jordanie<\/option><option value='Kazakhstan' >Kazakhstan<\/option><option value='Kenya' >Kenya<\/option><option value='Kirghizistan' >Kirghizistan<\/option><option value='Kiribati' >Kiribati<\/option><option value='Korea, Democratic People&#039;s Republic of' >Korea, Democratic People&#039;s Republic of<\/option><option value='Korea, Republic of' >Korea, Republic of<\/option><option value='Kowe\u00eft' >Kowe\u00eft<\/option><option value='La Barbade' >La Barbade<\/option><option value='La R\u00e9union' >La R\u00e9union<\/option><option value='Lesotho' >Lesotho<\/option><option value='Lettonie' >Lettonie<\/option><option value='Liban' >Liban<\/option><option value='Liberia' >Liberia<\/option><option value='Libye' >Libye<\/option><option value='Liechtenstein' >Liechtenstein<\/option><option value='Lituanie' >Lituanie<\/option><option value='Luxembourg' >Luxembourg<\/option><option value='Macao' >Macao<\/option><option value='Madagascar' >Madagascar<\/option><option value='Malaisie' >Malaisie<\/option><option value='Malawi' >Malawi<\/option><option value='Maldives' >Maldives<\/option><option value='Mali' >Mali<\/option><option value='Malte' >Malte<\/option><option value='Maroc' >Maroc<\/option><option value='Martinique' >Martinique<\/option><option value='Mauritanie' >Mauritanie<\/option><option value='Mayotte' >Mayotte<\/option><option value='Mexique' >Mexique<\/option><option value='Micron\u00e9sie' >Micron\u00e9sie<\/option><option value='Moldavie' >Moldavie<\/option><option value='Monaco' >Monaco<\/option><option value='Mongolie' >Mongolie<\/option><option value='Montserrat' >Montserrat<\/option><option value='Mont\u00e9n\u00e9gro' >Mont\u00e9n\u00e9gro<\/option><option value='Mozambique' >Mozambique<\/option><option value='Myanmar' >Myanmar<\/option><option value='Namibie' >Namibie<\/option><option value='Nauru' >Nauru<\/option><option value='Nicaragua' >Nicaragua<\/option><option value='Niger' >Niger<\/option><option value='Nig\u00e9ria' >Nig\u00e9ria<\/option><option value='Niue' >Niue<\/option><option value='North Macedonia' >North Macedonia<\/option><option value='Norv\u00e8ge' >Norv\u00e8ge<\/option><option value='Nouvelle Cal\u00e9donie' >Nouvelle Cal\u00e9donie<\/option><option value='Nouvelle-Z\u00e9lande' >Nouvelle-Z\u00e9lande<\/option><option value='N\u00e9pal' >N\u00e9pal<\/option><option value='Oman' >Oman<\/option><option value='Ouganda' >Ouganda<\/option><option value='Ouzb\u00e9kistan' >Ouzb\u00e9kistan<\/option><option value='Pakistan' >Pakistan<\/option><option value='Palau' >Palau<\/option><option value='Panama' >Panama<\/option><option value='Papouasie-Nouvelle-Guin\u00e9e' >Papouasie-Nouvelle-Guin\u00e9e<\/option><option value='Paraguay' >Paraguay<\/option><option value='Pays-Bas' >Pays-Bas<\/option><option value='Philippines' >Philippines<\/option><option value='Pitcairn' >Pitcairn<\/option><option value='Pologne' >Pologne<\/option><option value='Polyn\u00e9sie fran\u00e7aise' >Polyn\u00e9sie fran\u00e7aise<\/option><option value='Porto Rico' >Porto Rico<\/option><option value='Portugal' >Portugal<\/option><option value='P\u00e9rou' >P\u00e9rou<\/option><option value='Qatar' >Qatar<\/option><option value='Roumanie' >Roumanie<\/option><option value='Royaume-Uni' >Royaume-Uni<\/option><option value='Russian Federation' >Russian Federation<\/option><option value='Rwanda' >Rwanda<\/option><option value='R\u00e9publique Dominicaine' >R\u00e9publique Dominicaine<\/option><option value='R\u00e9publique centrafricaine' >R\u00e9publique centrafricaine<\/option><option value='R\u00e9publique d\u00e9mocratique du Congo' >R\u00e9publique d\u00e9mocratique du Congo<\/option><option value='R\u00e9publique d\u00e9mocratique populaire Lao' >R\u00e9publique d\u00e9mocratique populaire Lao<\/option><option value='Sahara occidental' >Sahara occidental<\/option><option value='Saint Barth\u00e9lemy' >Saint Barth\u00e9lemy<\/option><option value='Saint Helena, Ascension and Tristan da Cunha' >Saint Helena, Ascension and Tristan da Cunha<\/option><option value='Saint Martin' >Saint Martin<\/option><option value='Saint-Christophe-et-Nevis' >Saint-Christophe-et-Nevis<\/option><option value='Saint-Marin' >Saint-Marin<\/option><option value='Saint-Martin' >Saint-Martin<\/option><option value='Saint-Pierre-et-Miquelon' >Saint-Pierre-et-Miquelon<\/option><option value='Saint-Si\u00e8ge' >Saint-Si\u00e8ge<\/option><option value='Saint-Vincent-et-les Grenadines' >Saint-Vincent-et-les Grenadines<\/option><option value='Sainte-Lucie' >Sainte-Lucie<\/option><option value='Salvador' >Salvador<\/option><option value='Samoa' >Samoa<\/option><option value='Samoa am\u00e9ricaines' >Samoa am\u00e9ricaines<\/option><option value='Sao Tom\u00e9 et Principe' >Sao Tom\u00e9 et Principe<\/option><option value='Serbie' >Serbie<\/option><option value='Seychelles' >Seychelles<\/option><option value='Sierra Leone' >Sierra Leone<\/option><option value='Singapour' >Singapour<\/option><option value='Slovaquie' >Slovaquie<\/option><option value='Slov\u00e9nie' >Slov\u00e9nie<\/option><option value='Somalie' >Somalie<\/option><option value='Soudan' >Soudan<\/option><option value='Soudan du Sud' >Soudan du Sud<\/option><option value='South Georgia and the South Sandwich Islands' >South Georgia and the South Sandwich Islands<\/option><option value='Sri Lanka' >Sri Lanka<\/option><option value='Suisse' >Suisse<\/option><option value='Suriname' >Suriname<\/option><option value='Su\u00e8de' >Su\u00e8de<\/option><option value='Svalbard and Jan Mayen' >Svalbard and Jan Mayen<\/option><option value='Syria Arab Republic' >Syria Arab Republic<\/option><option value='S\u00e9n\u00e9gal' >S\u00e9n\u00e9gal<\/option><option value='Tadjikistan' >Tadjikistan<\/option><option value='Tanzania, the United Republic of' >Tanzania, the United Republic of<\/option><option value='Ta\u00efwan' >Ta\u00efwan<\/option><option value='Tchad' >Tchad<\/option><option value='Terres australes Fran\u00e7aises' >Terres australes Fran\u00e7aises<\/option><option value='Territoire britannique de l&#039;oc\u00e9an Indien' >Territoire britannique de l&#039;oc\u00e9an Indien<\/option><option value='Tha\u00eflande' >Tha\u00eflande<\/option><option value='Timor-Leste' >Timor-Leste<\/option><option value='Togo' >Togo<\/option><option value='Tokelau' >Tokelau<\/option><option value='Tonga' >Tonga<\/option><option value='Trinit\u00e9 et Tobago' >Trinit\u00e9 et Tobago<\/option><option value='Tunisie' >Tunisie<\/option><option value='Turkm\u00e9nistan' >Turkm\u00e9nistan<\/option><option value='Tuvalu' >Tuvalu<\/option><option value='T\u00fcrkiye' >T\u00fcrkiye<\/option><option value='Ukraine' >Ukraine<\/option><option value='Uruguay' >Uruguay<\/option><option value='Vanuatu' >Vanuatu<\/option><option value='Venezuela' >Venezuela<\/option><option value='Viet Nam' >Viet Nam<\/option><option value='Wallis et Futuna' >Wallis et Futuna<\/option><option value='Y\u00e9men' >Y\u00e9men<\/option><option value='Zambie' >Zambie<\/option><option value='Zimbabwe' >Zimbabwe<\/option><option value='\u00c9gypte' >\u00c9gypte<\/option><option value='\u00c9mirats arabes unis' >\u00c9mirats arabes unis<\/option><option value='\u00c9quateur' >\u00c9quateur<\/option><option value='\u00c9rythr\u00e9e' >\u00c9rythr\u00e9e<\/option><option value='\u00c9tat palestinien' >\u00c9tat palestinien<\/option><option value='\u00c9tats-Unis' >\u00c9tats-Unis<\/option><option value='\u00c9thiopie' >\u00c9thiopie<\/option><option value='\u00cele Bouvet' >\u00cele Bouvet<\/option><option value='\u00cele Maurice' >\u00cele Maurice<\/option><option value='\u00cele de Man' >\u00cele de Man<\/option><option value='\u00cele de Norfolk' >\u00cele de Norfolk<\/option><option value='\u00cele de No\u00ebl' >\u00cele de No\u00ebl<\/option><option value='\u00celes Cayman' >\u00celes Cayman<\/option><option value='\u00celes Cocos' >\u00celes Cocos<\/option><option value='\u00celes Cook' >\u00celes Cook<\/option><option value='\u00celes Falkland' >\u00celes Falkland<\/option><option value='\u00celes F\u00e9ro\u00e9' >\u00celes F\u00e9ro\u00e9<\/option><option value='\u00celes Mariannes du Nord' >\u00celes Mariannes du Nord<\/option><option value='\u00celes Marshall' >\u00celes Marshall<\/option><option value='\u00celes Salomon' >\u00celes Salomon<\/option><option value='\u00celes Turques-et-Ca\u00efques' >\u00celes Turques-et-Ca\u00efques<\/option><option value='\u00celes Vierges am\u00e9ricaines' >\u00celes Vierges am\u00e9ricaines<\/option><option value='\u00celes Vierges britanniques' >\u00celes Vierges britanniques<\/option><option value='\u00celes mineures \u00e9loign\u00e9es des \u00c9tats-Unis' >\u00celes mineures \u00e9loign\u00e9es des \u00c9tats-Unis<\/option><\/select>\n                                        <label for='input_5_208_6' id='input_5_208_6_label' class='gform-field-label gform-field-label--type-sub '>Pays<\/label>\n                                    <\/span>\n                    <div class='gf_clear gf_clear_complex'><\/div>\n                <\/div><\/fieldset><div id=\"field_5_211\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_5_211\" ><label class='gfield_label gform-field-label' for='input_5_211'>Since When (MM\/YYYY)<\/label><div class='ginput_container ginput_container_text'><input autocomplete=\"off\"  name='input_211' id='input_5_211' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_5_212\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-half gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_5_212\" ><\/div><fieldset id=\"field_5_214\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_5_214\" ><legend class='gfield_label gform-field-label' >Is this a Rent Geared-to-Income Housing unit?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(N\u00e9cessaire)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_5_214'>\n\t\t\t<div class='gchoice gchoice_5_214_0'>\n\t\t\t\t\t<input autocomplete=\"off\"  class='gfield-choice-input' name='input_214' type='radio' value='Yes'  id='choice_5_214_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_214_0' id='label_5_214_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_5_214_1'>\n\t\t\t\t\t<input autocomplete=\"off\"  class='gfield-choice-input' name='input_214' type='radio' value='No'  id='choice_5_214_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_214_1' id='label_5_214_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_5_218\" class=\"gfield gfield--type-fileupload gfield--input-type-fileupload gfield--width-half field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_5_218\" ><label class='gfield_label gform-field-label' for='input_5_218'>Please provide a letter from your Housing Provider verifying you are up to date with your rent.<\/label><div class='ginput_container ginput_container_fileupload'><input autocomplete=\"off\"  name='input_218' id='input_5_218' type='file' class='large' aria-describedby=\"gfield_upload_rules_5_218\" onchange='javascript:gformValidateFileSize( this, 21474836480 );'  \/><span class='gfield_description gform_fileupload_rules' id='gfield_upload_rules_5_218'>Types de fichier accept\u00e9s\u00a0: jpg, jpeg, gif, png, heic, pdf, doc, docx, Taille maximum des fichiers : 20 GB.<\/span><div class='gfield_description validation_message gfield_validation_message validation_message--hidden-on-empty' id='live_validation_message_5_218'><\/div><\/div><\/div><div id=\"field_5_219\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_5_219\" ><label class='gfield_label gform-field-label' for='input_5_219'>Name of Housing Provider<\/label><div class='ginput_container ginput_container_text'><input autocomplete=\"off\"  name='input_219' id='input_5_219' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_5_220\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_5_220\" ><\/div><fieldset id=\"field_5_215\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_5_215\" ><legend class='gfield_label gform-field-label' >Are there any arrears owing?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(N\u00e9cessaire)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_5_215'>\n\t\t\t<div class='gchoice gchoice_5_215_0'>\n\t\t\t\t\t<input autocomplete=\"off\"  class='gfield-choice-input' name='input_215' type='radio' value='Yes'  id='choice_5_215_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_215_0' id='label_5_215_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_5_215_1'>\n\t\t\t\t\t<input autocomplete=\"off\"  class='gfield-choice-input' name='input_215' type='radio' value='No'  id='choice_5_215_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_215_1' id='label_5_215_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_5_229\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-half gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_5_229\" ><center><strong><p style=\"color:red\">Please be advised if you have any outstanding arrears owing, this may affect your eligibility. <\/p><\/strong><\/center><\/div><div id=\"field_5_230\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_5_230\" ><\/div><div id=\"field_5_216\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_5_216\" ><label class='gfield_label gform-field-label' for='input_5_216'>Landlord Name<\/label><div class='ginput_container ginput_container_text'><input autocomplete=\"off\"  name='input_216' id='input_5_216' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_5_217\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_5_217\" ><label class='gfield_label gform-field-label' for='input_5_217'>Landlord Phone Number<\/label><div class='ginput_container ginput_container_text'><input autocomplete=\"off\"  name='input_217' id='input_5_217' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><\/div>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                         <input type='button' id='gform_next_button_5_233' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this)' value='Next'  \/> <button type='button'  id='gform_save_5_2_link' onclick='gform.submission.handleButtonClick(this)' class='gform_save_link gform-theme-button gform-theme-button--secondary button'  ><svg aria-hidden=\"true\" focusable=\"false\" width=\"16\" height=\"16\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path fill-rule=\"evenodd\" clip-rule=\"evenodd\" d=\"M0 8a4 4 0 004 4h3v3a1 1 0 102 0v-3h3a4 4 0 100-8 4 4 0 10-8 0 4 4 0 00-4 4zm9 4H7V7.414L5.707 8.707a1 1 0 01-1.414-1.414l3-3a1 1 0 011.414 0l3 3a1 1 0 01-1.414 1.414L9 7.414V12z\" fill=\"#6B7280\"\/><\/svg> Save and Continue Later<\/button>\n                    <\/div>\n                <\/div>\n                <div id='gform_page_5_2' class='gform_page' data-js='page-field-id-233' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_5_2' class='gform_fields top_label form_sublabel_below description_above validation_below'><div id=\"field_5_209\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_5_209\" ><h3 class=\"gsection_title\">Accommodation History for <span data-gppa-live-merge-tag=\"@{Legal Name:157.3}\"><\/span> <span data-gppa-live-merge-tag=\"@{Legal Name:157.6}\"><\/span><\/h3><\/div><div id=\"field_5_164\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_5_164\" >Please list the addresses where you have lived for the<strong> past 5 years<\/strong> not including your current address. If you have experienced homelessness during any point in the last 5 years, please indicate that as well.<\/div><div id=\"field_5_181\" class=\"gfield gfield--type-form gfield--input-type-form gform-theme__no-reset--children gfield--width-full prev-accommodation-nested field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_5_181\" ><label class='gfield_label gform-field-label' for='input_5_181'>Accommodation History<\/label><div class=\"gpnf-nested-entries-container ginput_container\">\n\n\t<table class=\"gpnf-nested-entries\">\n\n\t\t<thead>\n\t\t<tr>\n\t\t\t\t\t\t\t<th class=\"gpnf-field-1\">\n\t\t\t\t\tAddress\t\t\t\t<\/th>\n\t\t\t\t\t\t\t<th class=\"gpnf-field-7\">\n\t\t\t\t\tDates Lived Here\t\t\t\t<\/th>\n\t\t\t\t\t\t\t<th class=\"gpnf-field-10\">\n\t\t\t\t\tRent Geared to Income\t\t\t\t<\/th>\n\t\t\t\t\t\t<th class=\"gpnf-row-actions\"><span class=\"screen-reader-text\">Actions<\/span><\/th>\n\t\t<\/tr>\n\t\t<\/thead>\n\n\t\t<tbody data-bind=\"visible: entries().length, foreach: entries\">\n\t\t<tr data-bind=\"attr: { 'data-entryid': id }\">\n\t\t\t\t\t\t\t<td class=\"gpnf-field\"\n\t\t\t\t\tdata-bind=\"html: f1.label, attr: { 'data-value': f1.label }\"\n\t\t\t\t\tdata-heading=\"Address\"\n\t\t\t\t>&nbsp;<\/td>\n\t\t\t\t\t\t\t<td class=\"gpnf-field\"\n\t\t\t\t\tdata-bind=\"html: f7.label, attr: { 'data-value': f7.label }\"\n\t\t\t\t\tdata-heading=\"Dates Lived Here\"\n\t\t\t\t>&nbsp;<\/td>\n\t\t\t\t\t\t\t<td class=\"gpnf-field\"\n\t\t\t\t\tdata-bind=\"html: f10.label, attr: { 'data-value': f10.label }\"\n\t\t\t\t\tdata-heading=\"Rent Geared to Income\"\n\t\t\t\t>&nbsp;<\/td>\n\t\t\t\t\t\t<td class=\"gpnf-row-actions\" style=\"display: none;\" data-bind=\"visible: true\">\n\t\t\t\t<ul>\n\t\t\t\t\t<li class=\"edit\"><button type=\"button\" class=\"edit-button gform-theme-button--secondary\" data-bind=\"click: $parent.editEntry, attr: { 'aria-label': 'Edit an Accommodation {0} where Address is {1}.'.gformFormat( $index() + 1, f1.label ) }\">Edit<\/button><\/li>\n\t\t\t\t\t\t\t\t\t\t<li class=\"delete\"><button type=\"button\" class=\"delete-button gform-theme-button--simple gform-theme-button--size-md\" data-bind=\"click: $parent.deleteEntry, attr: { 'aria-label': 'Delete an Accommodation {0} where Address is {1}.'.gformFormat( $index() + 1, f1.label ) }\">Delete<\/button><\/li>\n\t\t\t\t<\/ul>\n\t\t\t<\/td>\n\t\t<\/tr>\n\t\t<\/tbody>\n\n\t\t<tbody data-bind=\"visible: entries().length <= 0\">\n\t\t<tr class=\"gpnf-no-entries\" data-bind=\"visible: entries().length <= 0\" style=\"display: none;\">\n\t\t\t<td colspan=\"5\">\n\t\t\t\tThere are no <span>Accommodations.<\/span>\t\t\t<\/td>\n\t\t<\/tr>\n\t\t<\/tbody>\n\n\t<\/table>\n\n\t<button type=\"button\" class=\"gpnf-add-entry\"\n\t\t        data-formid=\"5\"\n\t\t        data-nestedformid=\"3\"\n\t\t\t\tdata-bind=\"attr: { disabled: isMaxed }, css: { 'gf-default-disabled': isMaxed }\"\n\t\t\t\t>\n\t\t\t\tAdd an Accommodation\n\t\t\t<\/button>\t\n\t\t\t<p class=\"gpnf-add-entry-max\" data-bind=\"visible: isMaxed\" style=\"display: none;\">\n\t\t\t\tMaximum number of accommodations reached.\n\t\t\t<\/p>\n<\/div>\n<input autocomplete=\"off\"  type=\"hidden\"\n                name=\"input_181\"\n                id=\"input_5_181\"\n                data-bind=\"value: entryIds\"\n                value=\"\" \/><\/div><\/div>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                        <input type='button' id='gform_previous_button_5_234' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this)' value='Previous'  \/> <input type='button' id='gform_next_button_5_234' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this)' value='Next'  \/> <button type='button'  id='gform_save_5_3_link' onclick='gform.submission.handleButtonClick(this)' class='gform_save_link gform-theme-button gform-theme-button--secondary button'  ><svg aria-hidden=\"true\" focusable=\"false\" width=\"16\" height=\"16\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path fill-rule=\"evenodd\" clip-rule=\"evenodd\" d=\"M0 8a4 4 0 004 4h3v3a1 1 0 102 0v-3h3a4 4 0 100-8 4 4 0 10-8 0 4 4 0 00-4 4zm9 4H7V7.414L5.707 8.707a1 1 0 01-1.414-1.414l3-3a1 1 0 011.414 0l3 3a1 1 0 01-1.414 1.414L9 7.414V12z\" fill=\"#6B7280\"\/><\/svg> Save and Continue Later<\/button>\n                    <\/div>\n                <\/div>\n                <div id='gform_page_5_3' class='gform_page' data-js='page-field-id-234' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_5_3' class='gform_fields top_label form_sublabel_below description_above validation_below'><div id=\"field_5_189\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_5_189\" ><h3 class=\"gsection_title\">Correspondence Information<\/h3><\/div><fieldset id=\"field_5_111\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_5_111\" ><legend class='gfield_label gform-field-label' >I prefer to be contacted by<\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_5_111'>\n\t\t\t<div class='gchoice gchoice_5_111_0'>\n\t\t\t\t\t<input autocomplete=\"off\"  class='gfield-choice-input' name='input_111' type='radio' value='Email'  id='choice_5_111_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_111_0' id='label_5_111_0' class='gform-field-label gform-field-label--type-inline'>Email<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_5_111_1'>\n\t\t\t\t\t<input autocomplete=\"off\"  class='gfield-choice-input' name='input_111' type='radio' value='Mail'  id='choice_5_111_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_111_1' id='label_5_111_1' class='gform-field-label gform-field-label--type-inline'>Mail<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_5_112\" class=\"gfield gfield--type-email gfield--input-type-email gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_5_112\" ><label class='gfield_label gform-field-label' for='input_5_112'>Email Address<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(N\u00e9cessaire)<\/span><\/span><\/label><div class='ginput_container ginput_container_email'>\n                            <input autocomplete=\"off\"  name='input_112' id='input_5_112' type='email' value='' class='large'    aria-required=\"true\" aria-invalid=\"false\"  \/>\n                        <\/div><\/div><fieldset id=\"field_5_113\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield--width-full field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_5_113\" ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Mailing Address<\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_5_113'><div class='gchoice gchoice_5_113_1'>\n\t\t\t\t\t\t\t\t<input autocomplete=\"off\"  class='gfield-choice-input' name='input_113.1' type='checkbox'  value='My Mailing Address is different than my Current Address'  id='choice_5_113_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_113_1' id='label_5_113_1' class='gform-field-label gform-field-label--type-inline'>My Mailing Address is different than my Current Address<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_5_114\" class=\"gfield gfield--type-address gfield--input-type-address gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_above hidden_label field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_5_114\" ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Mailing Address<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(N\u00e9cessaire)<\/span><\/span><\/legend>    \n                    <div class='ginput_complex ginput_container has_street has_street2 has_city has_state has_zip has_country ginput_container_address gform-grid-row' id='input_5_114' >\n                         <span class='ginput_full address_line_1 ginput_address_line_1 gform-grid-col' id='input_5_114_1_container' >\n                                        <input autocomplete=\"off\"  type='text' name='input_114.1' id='input_5_114_1' value=''    aria-required='true'    \/>\n                                        <label for='input_5_114_1' id='input_5_114_1_label' class='gform-field-label gform-field-label--type-sub '>Adresse postale<\/label>\n                                    <\/span><span class='ginput_full address_line_2 ginput_address_line_2 gform-grid-col' id='input_5_114_2_container' >\n                                        <input autocomplete=\"off\"  type='text' name='input_114.2' id='input_5_114_2' value=''     aria-required='false'   \/>\n                                        <label for='input_5_114_2' id='input_5_114_2_label' class='gform-field-label gform-field-label--type-sub '>Unit Number<\/label>\n                                    <\/span><span class='ginput_left address_city ginput_address_city gform-grid-col' id='input_5_114_3_container' >\n                                    <input autocomplete=\"off\"  type='text' name='input_114.3' id='input_5_114_3' value=''    aria-required='true'    \/>\n                                    <label for='input_5_114_3' id='input_5_114_3_label' class='gform-field-label gform-field-label--type-sub '>Ville<\/label>\n                                 <\/span><span class='ginput_right address_state ginput_address_state gform-grid-col' id='input_5_114_4_container' >\n                                        <input autocomplete=\"off\"  type='text' name='input_114.4' id='input_5_114_4' value=''      aria-required='true'    \/>\n                                        <label for='input_5_114_4' id='input_5_114_4_label' class='gform-field-label gform-field-label--type-sub '>Province \/ State \/  Region<\/label>\n                                      <\/span><span class='ginput_left address_zip ginput_address_zip gform-grid-col' id='input_5_114_5_container' >\n                                    <input autocomplete=\"off\"  type='text' name='input_114.5' id='input_5_114_5' value=''    aria-required='true'    \/>\n                                    <label for='input_5_114_5' id='input_5_114_5_label' class='gform-field-label gform-field-label--type-sub '>Postal \/ Zip Code<\/label>\n                                <\/span><span class='ginput_right address_country ginput_address_country gform-grid-col' id='input_5_114_6_container' >\n                                        <select name='input_114.6' id='input_5_114_6'   aria-required='true'    ><option value='' ><\/option><option value='Afghanistan' >Afghanistan<\/option><option value='Afrique du Sud' >Afrique du Sud<\/option><option value='Albanie' >Albanie<\/option><option value='Alg\u00e9rie' >Alg\u00e9rie<\/option><option value='Allemagne' >Allemagne<\/option><option value='Andorre' >Andorre<\/option><option value='Angola' >Angola<\/option><option value='Anguilla' >Anguilla<\/option><option value='Antarctique' >Antarctique<\/option><option value='Antigua-et-Barbuda' >Antigua-et-Barbuda<\/option><option value='Arabie Saoudite' >Arabie Saoudite<\/option><option value='Argentine' >Argentine<\/option><option value='Arm\u00e9nie' >Arm\u00e9nie<\/option><option value='Aruba' >Aruba<\/option><option value='Australie' >Australie<\/option><option value='Autriche' >Autriche<\/option><option value='Azerba\u00efdjan' >Azerba\u00efdjan<\/option><option value='Bahamas' >Bahamas<\/option><option value='Bahre\u00efn' >Bahre\u00efn<\/option><option value='Bangladesh' >Bangladesh<\/option><option value='Belarus' >Belarus<\/option><option value='Belgique' >Belgique<\/option><option value='Belize' >Belize<\/option><option value='Bermudes' >Bermudes<\/option><option value='Bhoutan' >Bhoutan<\/option><option value='Bolivie' >Bolivie<\/option><option value='Bonaire, Saint-Eustache et Saba' >Bonaire, Saint-Eustache et Saba<\/option><option value='Bosnie-Herz\u00e9govine' >Bosnie-Herz\u00e9govine<\/option><option value='Botswana' >Botswana<\/option><option value='Brunei Darussalam' >Brunei Darussalam<\/option><option value='Br\u00e9sil' >Br\u00e9sil<\/option><option value='Bulgarie' >Bulgarie<\/option><option value='Burkina Faso' >Burkina Faso<\/option><option value='Burundi' >Burundi<\/option><option value='B\u00e9nin' >B\u00e9nin<\/option><option value='Cambodge' >Cambodge<\/option><option value='Cameroun' >Cameroun<\/option><option value='Canada' selected='selected'>Canada<\/option><option value='Cap-Vert' >Cap-Vert<\/option><option value='Chili' >Chili<\/option><option value='Chine' >Chine<\/option><option value='Chypre' >Chypre<\/option><option value='Colombie' >Colombie<\/option><option value='Comores' >Comores<\/option><option value='Congo' >Congo<\/option><option value='Costa Rica' >Costa Rica<\/option><option value='Croatie' >Croatie<\/option><option value='Cuba' >Cuba<\/option><option value='Cura\u00e7ao' >Cura\u00e7ao<\/option><option value='Czechia' >Czechia<\/option><option value='C\u00f4te d\u2019Ivoire' >C\u00f4te d\u2019Ivoire<\/option><option value='Danemark' >Danemark<\/option><option value='Djibouti' >Djibouti<\/option><option value='Dominique' >Dominique<\/option><option value='Espagne' >Espagne<\/option><option value='Estonie' >Estonie<\/option><option value='Eswatini' >Eswatini<\/option><option value='Fidji' >Fidji<\/option><option value='Finlande' >Finlande<\/option><option value='France' >France<\/option><option value='Gabon' >Gabon<\/option><option value='Gambie' >Gambie<\/option><option value='Ghana' >Ghana<\/option><option value='Gibraltar' >Gibraltar<\/option><option value='Grenade' >Grenade<\/option><option value='Groenland' >Groenland<\/option><option value='Gr\u00e8ce' >Gr\u00e8ce<\/option><option value='Guadeloupe' >Guadeloupe<\/option><option value='Guam' >Guam<\/option><option value='Guatemala' >Guatemala<\/option><option value='Guernesey' >Guernesey<\/option><option value='Guin\u00e9e' >Guin\u00e9e<\/option><option value='Guin\u00e9e Fran\u00e7aise' >Guin\u00e9e Fran\u00e7aise<\/option><option value='Guin\u00e9e \u00e9quatoriale' >Guin\u00e9e \u00e9quatoriale<\/option><option value='Guin\u00e9e-Bissau' >Guin\u00e9e-Bissau<\/option><option value='Guyane' >Guyane<\/option><option value='G\u00e9orgie' >G\u00e9orgie<\/option><option value='Ha\u00efti' >Ha\u00efti<\/option><option value='Heard Island and McDonald Islands' >Heard Island and McDonald Islands<\/option><option value='Honduras' >Honduras<\/option><option value='Hong Kong' >Hong Kong<\/option><option value='Hongrie' >Hongrie<\/option><option value='Iles Aland' >Iles Aland<\/option><option value='Inde' >Inde<\/option><option value='Indon\u00e9sie' >Indon\u00e9sie<\/option><option value='Irak' >Irak<\/option><option value='Iran' >Iran<\/option><option value='Irlande' >Irlande<\/option><option value='Islande' >Islande<\/option><option value='Isra\u00ebl' >Isra\u00ebl<\/option><option value='Italie' >Italie<\/option><option value='Jama\u00efque' >Jama\u00efque<\/option><option value='Japon' >Japon<\/option><option value='Jersey' >Jersey<\/option><option value='Jordanie' >Jordanie<\/option><option value='Kazakhstan' >Kazakhstan<\/option><option value='Kenya' >Kenya<\/option><option value='Kirghizistan' >Kirghizistan<\/option><option value='Kiribati' >Kiribati<\/option><option value='Korea, Democratic People&#039;s Republic of' >Korea, Democratic People&#039;s Republic of<\/option><option value='Korea, Republic of' >Korea, Republic of<\/option><option value='Kowe\u00eft' >Kowe\u00eft<\/option><option value='La Barbade' >La Barbade<\/option><option value='La R\u00e9union' >La R\u00e9union<\/option><option value='Lesotho' >Lesotho<\/option><option value='Lettonie' >Lettonie<\/option><option value='Liban' >Liban<\/option><option value='Liberia' >Liberia<\/option><option value='Libye' >Libye<\/option><option value='Liechtenstein' >Liechtenstein<\/option><option value='Lituanie' >Lituanie<\/option><option value='Luxembourg' >Luxembourg<\/option><option value='Macao' >Macao<\/option><option value='Madagascar' >Madagascar<\/option><option value='Malaisie' >Malaisie<\/option><option value='Malawi' >Malawi<\/option><option value='Maldives' >Maldives<\/option><option value='Mali' >Mali<\/option><option value='Malte' >Malte<\/option><option value='Maroc' >Maroc<\/option><option value='Martinique' >Martinique<\/option><option value='Mauritanie' >Mauritanie<\/option><option value='Mayotte' >Mayotte<\/option><option value='Mexique' >Mexique<\/option><option value='Micron\u00e9sie' >Micron\u00e9sie<\/option><option value='Moldavie' >Moldavie<\/option><option value='Monaco' >Monaco<\/option><option value='Mongolie' >Mongolie<\/option><option value='Montserrat' >Montserrat<\/option><option value='Mont\u00e9n\u00e9gro' >Mont\u00e9n\u00e9gro<\/option><option value='Mozambique' >Mozambique<\/option><option value='Myanmar' >Myanmar<\/option><option value='Namibie' >Namibie<\/option><option value='Nauru' >Nauru<\/option><option value='Nicaragua' >Nicaragua<\/option><option value='Niger' >Niger<\/option><option value='Nig\u00e9ria' >Nig\u00e9ria<\/option><option value='Niue' >Niue<\/option><option value='North Macedonia' >North Macedonia<\/option><option value='Norv\u00e8ge' >Norv\u00e8ge<\/option><option value='Nouvelle Cal\u00e9donie' >Nouvelle Cal\u00e9donie<\/option><option value='Nouvelle-Z\u00e9lande' >Nouvelle-Z\u00e9lande<\/option><option value='N\u00e9pal' >N\u00e9pal<\/option><option value='Oman' >Oman<\/option><option value='Ouganda' >Ouganda<\/option><option value='Ouzb\u00e9kistan' >Ouzb\u00e9kistan<\/option><option value='Pakistan' >Pakistan<\/option><option value='Palau' >Palau<\/option><option value='Panama' >Panama<\/option><option value='Papouasie-Nouvelle-Guin\u00e9e' >Papouasie-Nouvelle-Guin\u00e9e<\/option><option value='Paraguay' >Paraguay<\/option><option value='Pays-Bas' >Pays-Bas<\/option><option value='Philippines' >Philippines<\/option><option value='Pitcairn' >Pitcairn<\/option><option value='Pologne' >Pologne<\/option><option value='Polyn\u00e9sie fran\u00e7aise' >Polyn\u00e9sie fran\u00e7aise<\/option><option value='Porto Rico' >Porto Rico<\/option><option value='Portugal' >Portugal<\/option><option value='P\u00e9rou' >P\u00e9rou<\/option><option value='Qatar' >Qatar<\/option><option value='Roumanie' >Roumanie<\/option><option value='Royaume-Uni' >Royaume-Uni<\/option><option value='Russian Federation' >Russian Federation<\/option><option value='Rwanda' >Rwanda<\/option><option value='R\u00e9publique Dominicaine' >R\u00e9publique Dominicaine<\/option><option value='R\u00e9publique centrafricaine' >R\u00e9publique centrafricaine<\/option><option value='R\u00e9publique d\u00e9mocratique du Congo' >R\u00e9publique d\u00e9mocratique du Congo<\/option><option value='R\u00e9publique d\u00e9mocratique populaire Lao' >R\u00e9publique d\u00e9mocratique populaire Lao<\/option><option value='Sahara occidental' >Sahara occidental<\/option><option value='Saint Barth\u00e9lemy' >Saint Barth\u00e9lemy<\/option><option value='Saint Helena, Ascension and Tristan da Cunha' >Saint Helena, Ascension and Tristan da Cunha<\/option><option value='Saint Martin' >Saint Martin<\/option><option value='Saint-Christophe-et-Nevis' >Saint-Christophe-et-Nevis<\/option><option value='Saint-Marin' >Saint-Marin<\/option><option value='Saint-Martin' >Saint-Martin<\/option><option value='Saint-Pierre-et-Miquelon' >Saint-Pierre-et-Miquelon<\/option><option value='Saint-Si\u00e8ge' >Saint-Si\u00e8ge<\/option><option value='Saint-Vincent-et-les Grenadines' >Saint-Vincent-et-les Grenadines<\/option><option value='Sainte-Lucie' >Sainte-Lucie<\/option><option value='Salvador' >Salvador<\/option><option value='Samoa' >Samoa<\/option><option value='Samoa am\u00e9ricaines' >Samoa am\u00e9ricaines<\/option><option value='Sao Tom\u00e9 et Principe' >Sao Tom\u00e9 et Principe<\/option><option value='Serbie' >Serbie<\/option><option value='Seychelles' >Seychelles<\/option><option value='Sierra Leone' >Sierra Leone<\/option><option value='Singapour' >Singapour<\/option><option value='Slovaquie' >Slovaquie<\/option><option value='Slov\u00e9nie' >Slov\u00e9nie<\/option><option value='Somalie' >Somalie<\/option><option value='Soudan' >Soudan<\/option><option value='Soudan du Sud' >Soudan du Sud<\/option><option value='South Georgia and the South Sandwich Islands' >South Georgia and the South Sandwich Islands<\/option><option value='Sri Lanka' >Sri Lanka<\/option><option value='Suisse' >Suisse<\/option><option value='Suriname' >Suriname<\/option><option value='Su\u00e8de' >Su\u00e8de<\/option><option value='Svalbard and Jan Mayen' >Svalbard and Jan Mayen<\/option><option value='Syria Arab Republic' >Syria Arab Republic<\/option><option value='S\u00e9n\u00e9gal' >S\u00e9n\u00e9gal<\/option><option value='Tadjikistan' >Tadjikistan<\/option><option value='Tanzania, the United Republic of' >Tanzania, the United Republic of<\/option><option value='Ta\u00efwan' >Ta\u00efwan<\/option><option value='Tchad' >Tchad<\/option><option value='Terres australes Fran\u00e7aises' >Terres australes Fran\u00e7aises<\/option><option value='Territoire britannique de l&#039;oc\u00e9an Indien' >Territoire britannique de l&#039;oc\u00e9an Indien<\/option><option value='Tha\u00eflande' >Tha\u00eflande<\/option><option value='Timor-Leste' >Timor-Leste<\/option><option value='Togo' >Togo<\/option><option value='Tokelau' >Tokelau<\/option><option value='Tonga' >Tonga<\/option><option value='Trinit\u00e9 et Tobago' >Trinit\u00e9 et Tobago<\/option><option value='Tunisie' >Tunisie<\/option><option value='Turkm\u00e9nistan' >Turkm\u00e9nistan<\/option><option value='Tuvalu' >Tuvalu<\/option><option value='T\u00fcrkiye' >T\u00fcrkiye<\/option><option value='Ukraine' >Ukraine<\/option><option value='Uruguay' >Uruguay<\/option><option value='Vanuatu' >Vanuatu<\/option><option value='Venezuela' >Venezuela<\/option><option value='Viet Nam' >Viet Nam<\/option><option value='Wallis et Futuna' >Wallis et Futuna<\/option><option value='Y\u00e9men' >Y\u00e9men<\/option><option value='Zambie' >Zambie<\/option><option value='Zimbabwe' >Zimbabwe<\/option><option value='\u00c9gypte' >\u00c9gypte<\/option><option value='\u00c9mirats arabes unis' >\u00c9mirats arabes unis<\/option><option value='\u00c9quateur' >\u00c9quateur<\/option><option value='\u00c9rythr\u00e9e' >\u00c9rythr\u00e9e<\/option><option value='\u00c9tat palestinien' >\u00c9tat palestinien<\/option><option value='\u00c9tats-Unis' >\u00c9tats-Unis<\/option><option value='\u00c9thiopie' >\u00c9thiopie<\/option><option value='\u00cele Bouvet' >\u00cele Bouvet<\/option><option value='\u00cele Maurice' >\u00cele Maurice<\/option><option value='\u00cele de Man' >\u00cele de Man<\/option><option value='\u00cele de Norfolk' >\u00cele de Norfolk<\/option><option value='\u00cele de No\u00ebl' >\u00cele de No\u00ebl<\/option><option value='\u00celes Cayman' >\u00celes Cayman<\/option><option value='\u00celes Cocos' >\u00celes Cocos<\/option><option value='\u00celes Cook' >\u00celes Cook<\/option><option value='\u00celes Falkland' >\u00celes Falkland<\/option><option value='\u00celes F\u00e9ro\u00e9' >\u00celes F\u00e9ro\u00e9<\/option><option value='\u00celes Mariannes du Nord' >\u00celes Mariannes du Nord<\/option><option value='\u00celes Marshall' >\u00celes Marshall<\/option><option value='\u00celes Salomon' >\u00celes Salomon<\/option><option value='\u00celes Turques-et-Ca\u00efques' >\u00celes Turques-et-Ca\u00efques<\/option><option value='\u00celes Vierges am\u00e9ricaines' >\u00celes Vierges am\u00e9ricaines<\/option><option value='\u00celes Vierges britanniques' >\u00celes Vierges britanniques<\/option><option value='\u00celes mineures \u00e9loign\u00e9es des \u00c9tats-Unis' >\u00celes mineures \u00e9loign\u00e9es des \u00c9tats-Unis<\/option><\/select>\n                                        <label for='input_5_114_6' id='input_5_114_6_label' class='gform-field-label gform-field-label--type-sub '>Pays<\/label>\n                                    <\/span>\n                    <div class='gf_clear gf_clear_complex'><\/div>\n                <\/div><\/fieldset><div id=\"field_5_55\" class=\"gfield gfield--type-hidden gfield--input-type-hidden gfield--width-full gform_hidden field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_5_55\" ><div class='ginput_container ginput_container_text'><input autocomplete=\"off\"  name='input_55' id='input_5_55' type='hidden' class='gform_hidden'  aria-invalid=\"false\" value='' \/><\/div><\/div><div id=\"field_5_17\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_5_17\" ><h3 class=\"gsection_title\">Alternate Contact Information<\/h3><\/div><div id=\"field_5_18\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_5_18\" ><label class='gfield_label gform-field-label' for='input_5_18'>Name of person you give us permission to contact in your absence to speak to about this application<\/label><div class='ginput_container ginput_container_text'><input autocomplete=\"off\"  name='input_18' id='input_5_18' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_5_19\" class=\"gfield gfield--type-phone gfield--input-type-phone gfield--width-half field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_5_19\" ><label class='gfield_label gform-field-label' for='input_5_19'>Phone Number<\/label><div class='ginput_container ginput_container_phone'><input autocomplete=\"off\"  name='input_19' id='input_5_19' type='tel' value='' class='large'    aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_5_20\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_5_20\" ><label class='gfield_label gform-field-label' for='input_5_20'>Relationship to you (family member, friend etc.)<\/label><div class='ginput_container ginput_container_text'><input autocomplete=\"off\"  name='input_20' id='input_5_20' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><\/div>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                        <input type='button' id='gform_previous_button_5_235' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this)' value='Previous'  \/> <input type='button' id='gform_next_button_5_235' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this)' value='Next'  \/> <button type='button'  id='gform_save_5_4_link' onclick='gform.submission.handleButtonClick(this)' class='gform_save_link gform-theme-button gform-theme-button--secondary button'  ><svg aria-hidden=\"true\" focusable=\"false\" width=\"16\" height=\"16\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path fill-rule=\"evenodd\" clip-rule=\"evenodd\" d=\"M0 8a4 4 0 004 4h3v3a1 1 0 102 0v-3h3a4 4 0 100-8 4 4 0 10-8 0 4 4 0 00-4 4zm9 4H7V7.414L5.707 8.707a1 1 0 01-1.414-1.414l3-3a1 1 0 011.414 0l3 3a1 1 0 01-1.414 1.414L9 7.414V12z\" fill=\"#6B7280\"\/><\/svg> Save and Continue Later<\/button>\n                    <\/div>\n                <\/div>\n                <div id='gform_page_5_4' class='gform_page' data-js='page-field-id-235' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_5_4' class='gform_fields top_label form_sublabel_below description_above validation_below'><div id=\"field_5_120\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_5_120\" ><h3 class=\"gsection_title\">Income Information for <span data-gppa-live-merge-tag=\"@{Legal Name:157.3}\"><\/span> <span data-gppa-live-merge-tag=\"@{Legal Name:157.6}\"><\/span><\/h3><\/div><div id=\"field_5_231\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_5_231\" ><label class='gfield_label gform-field-label' for='input_5_231'>Annual Income for <span data-gppa-live-merge-tag=\"@{Legal Name:157.3}\"><\/span> <span data-gppa-live-merge-tag=\"@{Legal Name:157.6}\"><\/span><\/label><div class='gfield_description' id='gfield_description_5_231'>Please enter the amount shown on Line 15000 of your Notice of Assessment<\/div><div class='ginput_container ginput_container_text'><input autocomplete=\"off\"  name='input_231' id='input_5_231' type='text' value='' class='large'  aria-describedby=\"gfield_description_5_231\"    aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_5_232\" class=\"gfield gfield--type-fileupload gfield--input-type-fileupload gfield--width-half field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_5_232\" ><label class='gfield_label gform-field-label' for='gform_browse_button_5_232'>Notice of Assessment Upload<\/label><div class='gfield_description' id='gfield_description_5_232'>Please upload your NOA here<\/div><div class='ginput_container ginput_container_fileupload'><div id='gform_multifile_upload_5_232' data-settings='{&quot;runtimes&quot;:&quot;html5,flash,html4&quot;,&quot;browse_button&quot;:&quot;gform_browse_button_5_232&quot;,&quot;container&quot;:&quot;gform_multifile_upload_5_232&quot;,&quot;drop_element&quot;:&quot;gform_drag_drop_area_5_232&quot;,&quot;filelist&quot;:&quot;gform_preview_5_232&quot;,&quot;unique_names&quot;:true,&quot;file_data_name&quot;:&quot;file&quot;,&quot;url&quot;:&quot;https:\\\/\\\/housingdevelopment.county-lambton.on.ca\\\/?gf_page=6e09d9d2b26667e&quot;,&quot;flash_swf_url&quot;:&quot;https:\\\/\\\/housingdevelopment.county-lambton.on.ca\\\/wp-includes\\\/js\\\/plupload\\\/plupload.flash.swf&quot;,&quot;silverlight_xap_url&quot;:&quot;https:\\\/\\\/housingdevelopment.county-lambton.on.ca\\\/wp-includes\\\/js\\\/plupload\\\/plupload.silverlight.xap&quot;,&quot;filters&quot;:{&quot;mime_types&quot;:[{&quot;title&quot;:&quot;Fichiers autoris\\u00e9s&quot;,&quot;extensions&quot;:&quot;jpg,jpeg,gif,png,heic,pdf,doc,docx&quot;}],&quot;max_file_size&quot;:&quot;10485760b&quot;},&quot;multipart&quot;:true,&quot;urlstream_upload&quot;:false,&quot;multipart_params&quot;:{&quot;form_id&quot;:5,&quot;field_id&quot;:232},&quot;gf_vars&quot;:{&quot;max_files&quot;:&quot;1&quot;,&quot;message_id&quot;:&quot;gform_multifile_messages_5_232&quot;,&quot;disallowed_extensions&quot;:[&quot;php&quot;,&quot;asp&quot;,&quot;aspx&quot;,&quot;cmd&quot;,&quot;csh&quot;,&quot;bat&quot;,&quot;html&quot;,&quot;htm&quot;,&quot;hta&quot;,&quot;jar&quot;,&quot;exe&quot;,&quot;com&quot;,&quot;js&quot;,&quot;lnk&quot;,&quot;htaccess&quot;,&quot;phtml&quot;,&quot;ps1&quot;,&quot;ps2&quot;,&quot;php3&quot;,&quot;php4&quot;,&quot;php5&quot;,&quot;php6&quot;,&quot;py&quot;,&quot;rb&quot;,&quot;tmp&quot;]}}' class='gform_fileupload_multifile'>\n\t\t\t\t\t\t\t\t\t\t<div id='gform_drag_drop_area_5_232' class='gform_drop_area gform-theme-field-control'>\n\t\t\t\t\t\t\t\t\t\t\t<span class='gform_drop_instructions'>D\u00e9poser les fichiers ici ou <\/span>\n\t\t\t\t\t\t\t\t\t\t\t<button type='button' id='gform_browse_button_5_232' class='button gform_button_select_files gform-theme-button gform-theme-button--control' aria-describedby=\"gfield_upload_rules_5_232 gfield_description_5_232\"  >S\u00e9lectionnez des fichiers<\/button>\n\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<\/div><span class='gfield_description gform_fileupload_rules' id='gfield_upload_rules_5_232'>Types de fichier accept\u00e9s\u00a0: jpg, jpeg, gif, png, heic, pdf, doc, docx, Taille maximum des fichiers : 10 MB, Nombre maximum de fichiers : 1.<\/span><ul class='validation_message--hidden-on-empty gform-ul-reset' id='gform_multifile_messages_5_232'><\/ul> <!-- Leave <ul> empty to support CSS :empty selector. --><\/div><div id='gform_preview_5_232' class='ginput_preview_list'><\/div><\/div><div id=\"field_5_126\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-full gfield_html gfield_html_formatted field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_5_126\" ><p>List all money you receive each month. <strong>Listing all income is mandatory<\/strong><\/p> <p>If you do not have any income, please choose that as an option.<\/p>\n<b><p>Documentation to verify your current income must be attached to your application.<\/p><\/b>\n<p>You will be required to provide a copy of your most recent Notice of Assessment from the Canada Revenue Agency. If you do not have a copy of this assessment, you can request one by calling the Canada Revenue Agency at 1-800-959-8281.<\/p>\n<p>Click the button below to add additional sources of income<\/p><\/div><fieldset id=\"field_5_224\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield--width-full field_sublabel_below gfield--no-description field_description_above hidden_label field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_5_224\" ><legend class='gfield_label gform-field-label gfield_label_before_complex' >No Income<\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_5_224'><div class='gchoice gchoice_5_224_1'>\n\t\t\t\t\t\t\t\t<input autocomplete=\"off\"  class='gfield-choice-input' name='input_224.1' type='checkbox'  value='I have no Income'  id='choice_5_224_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_224_1' id='label_5_224_1' class='gform-field-label gform-field-label--type-inline'>I have no Income<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_5_179\" class=\"gfield gfield--type-form gfield--input-type-form gform-theme__no-reset--children gfield--width-full income-nested-view field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_5_179\" ><label class='gfield_label gform-field-label' for='input_5_179'>Income Sources<\/label><div class=\"gpnf-nested-entries-container ginput_container\">\n\n\t<table class=\"gpnf-nested-entries\">\n\n\t\t<thead>\n\t\t<tr>\n\t\t\t\t\t\t\t<th class=\"gpnf-field-7\">\n\t\t\t\t\tType of Income\t\t\t\t<\/th>\n\t\t\t\t\t\t\t<th class=\"gpnf-field-5\">\n\t\t\t\t\tGross Monthly Income ($)\t\t\t\t<\/th>\n\t\t\t\t\t\t\t<th class=\"gpnf-field-6\">\n\t\t\t\t\tProof of Income\t\t\t\t<\/th>\n\t\t\t\t\t\t<th class=\"gpnf-row-actions\"><span class=\"screen-reader-text\">Actions<\/span><\/th>\n\t\t<\/tr>\n\t\t<\/thead>\n\n\t\t<tbody data-bind=\"visible: entries().length, foreach: entries\">\n\t\t<tr data-bind=\"attr: { 'data-entryid': id }\">\n\t\t\t\t\t\t\t<td class=\"gpnf-field\"\n\t\t\t\t\tdata-bind=\"html: f7.label, attr: { 'data-value': f7.label }\"\n\t\t\t\t\tdata-heading=\"Type of Income\"\n\t\t\t\t>&nbsp;<\/td>\n\t\t\t\t\t\t\t<td class=\"gpnf-field\"\n\t\t\t\t\tdata-bind=\"html: f5.label, attr: { 'data-value': f5.label }\"\n\t\t\t\t\tdata-heading=\"Gross Monthly Income ($)\"\n\t\t\t\t>&nbsp;<\/td>\n\t\t\t\t\t\t\t<td class=\"gpnf-field\"\n\t\t\t\t\tdata-bind=\"html: f6.label, attr: { 'data-value': f6.label }\"\n\t\t\t\t\tdata-heading=\"Proof of Income\"\n\t\t\t\t>&nbsp;<\/td>\n\t\t\t\t\t\t<td class=\"gpnf-row-actions\" style=\"display: none;\" data-bind=\"visible: true\">\n\t\t\t\t<ul>\n\t\t\t\t\t<li class=\"edit\"><button type=\"button\" class=\"edit-button gform-theme-button--secondary\" data-bind=\"click: $parent.editEntry, attr: { 'aria-label': 'Edit an Income Source {0} where Type of Income is {1}.'.gformFormat( $index() + 1, f7.label ) }\">Edit<\/button><\/li>\n\t\t\t\t\t\t\t\t\t\t<li class=\"delete\"><button type=\"button\" class=\"delete-button gform-theme-button--simple gform-theme-button--size-md\" data-bind=\"click: $parent.deleteEntry, attr: { 'aria-label': 'Delete an Income Source {0} where Type of Income is {1}.'.gformFormat( $index() + 1, f7.label ) }\">Delete<\/button><\/li>\n\t\t\t\t<\/ul>\n\t\t\t<\/td>\n\t\t<\/tr>\n\t\t<\/tbody>\n\n\t\t<tbody data-bind=\"visible: entries().length <= 0\">\n\t\t<tr class=\"gpnf-no-entries\" data-bind=\"visible: entries().length <= 0\" style=\"display: none;\">\n\t\t\t<td colspan=\"4\">\n\t\t\t\tThere are no <span>Income Sources.<\/span>\t\t\t<\/td>\n\t\t<\/tr>\n\t\t<\/tbody>\n\n\t<\/table>\n\n\t<button type=\"button\" class=\"gpnf-add-entry\"\n\t\t        data-formid=\"5\"\n\t\t        data-nestedformid=\"4\"\n\t\t\t\tdata-bind=\"attr: { disabled: isMaxed }, css: { 'gf-default-disabled': isMaxed }\"\n\t\t\t\t>\n\t\t\t\tAdd an Income Source\n\t\t\t<\/button>\t\n\t\t \t<p class=\"gpnf-add-entry-max\">\n\t\t \t\tYou must add at least 1 income source.\n\t\t \t<\/p>\n<\/div>\n<input autocomplete=\"off\"  type=\"hidden\"\n                name=\"input_179\"\n                id=\"input_5_179\"\n                data-bind=\"value: entryIds\"\n                value=\"\" \/><\/div><\/div>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                        <input type='button' id='gform_previous_button_5_236' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this)' value='Previous'  \/> <input type='button' id='gform_next_button_5_236' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this)' value='Next'  \/> <button type='button'  id='gform_save_5_5_link' onclick='gform.submission.handleButtonClick(this)' class='gform_save_link gform-theme-button gform-theme-button--secondary button'  ><svg aria-hidden=\"true\" focusable=\"false\" width=\"16\" height=\"16\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path fill-rule=\"evenodd\" clip-rule=\"evenodd\" d=\"M0 8a4 4 0 004 4h3v3a1 1 0 102 0v-3h3a4 4 0 100-8 4 4 0 10-8 0 4 4 0 00-4 4zm9 4H7V7.414L5.707 8.707a1 1 0 01-1.414-1.414l3-3a1 1 0 011.414 0l3 3a1 1 0 01-1.414 1.414L9 7.414V12z\" fill=\"#6B7280\"\/><\/svg> Save and Continue Later<\/button>\n                    <\/div>\n                <\/div>\n                <div id='gform_page_5_5' class='gform_page' data-js='page-field-id-236' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_5_5' class='gform_fields top_label form_sublabel_below description_above validation_below'><div id=\"field_5_127\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_5_127\" ><h3 class=\"gsection_title\">Asset Information for <span data-gppa-live-merge-tag=\"@{Legal Name:157.3}\"><\/span> <span data-gppa-live-merge-tag=\"@{Legal Name:157.6}\"><\/span><\/h3><\/div><div id=\"field_5_128\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_5_128\" ><p>List all Assets owned by you. You do not need to include personal vehicles. <strong>Listing all assets is mandatory<\/strong>.<\/p><p>If you do not have any assets, please choose that as an option.<\/p>\n<b>Documentation to verify all of your assets must be attached to your application. <\/b><\/div><fieldset id=\"field_5_223\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield--width-full field_sublabel_below gfield--no-description field_description_above hidden_label field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_5_223\" ><legend class='gfield_label gform-field-label gfield_label_before_complex' >No Assets<\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_5_223'><div class='gchoice gchoice_5_223_1'>\n\t\t\t\t\t\t\t\t<input autocomplete=\"off\"  class='gfield-choice-input' name='input_223.1' type='checkbox'  value='I have no Assets'  id='choice_5_223_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_223_1' id='label_5_223_1' class='gform-field-label gform-field-label--type-inline'>I have no Assets<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_5_180\" class=\"gfield gfield--type-form gfield--input-type-form gform-theme__no-reset--children gfield--width-full asset-nested-view field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_5_180\" ><label class='gfield_label gform-field-label' for='input_5_180'>Assets<\/label><div class=\"gpnf-nested-entries-container ginput_container\">\n\n\t<table class=\"gpnf-nested-entries\">\n\n\t\t<thead>\n\t\t<tr>\n\t\t\t\t\t\t\t<th class=\"gpnf-field-7\">\n\t\t\t\t\tType of Asset (including those in foreign countries)\t\t\t\t<\/th>\n\t\t\t\t\t\t\t<th class=\"gpnf-field-4\">\n\t\t\t\t\tDetails of Asset\t\t\t\t<\/th>\n\t\t\t\t\t\t\t<th class=\"gpnf-field-5\">\n\t\t\t\t\tValue\/Account Balance ($)\t\t\t\t<\/th>\n\t\t\t\t\t\t\t<th class=\"gpnf-field-6\">\n\t\t\t\t\tProof of Assets\t\t\t\t<\/th>\n\t\t\t\t\t\t<th class=\"gpnf-row-actions\"><span class=\"screen-reader-text\">Actions<\/span><\/th>\n\t\t<\/tr>\n\t\t<\/thead>\n\n\t\t<tbody data-bind=\"visible: entries().length, foreach: entries\">\n\t\t<tr data-bind=\"attr: { 'data-entryid': id }\">\n\t\t\t\t\t\t\t<td class=\"gpnf-field\"\n\t\t\t\t\tdata-bind=\"html: f7.label, attr: { 'data-value': f7.label }\"\n\t\t\t\t\tdata-heading=\"Type of Asset (including those in foreign countries)\"\n\t\t\t\t>&nbsp;<\/td>\n\t\t\t\t\t\t\t<td class=\"gpnf-field\"\n\t\t\t\t\tdata-bind=\"html: f4.label, attr: { 'data-value': f4.label }\"\n\t\t\t\t\tdata-heading=\"Details of Asset\"\n\t\t\t\t>&nbsp;<\/td>\n\t\t\t\t\t\t\t<td class=\"gpnf-field\"\n\t\t\t\t\tdata-bind=\"html: f5.label, attr: { 'data-value': f5.label }\"\n\t\t\t\t\tdata-heading=\"Value\/Account Balance ($)\"\n\t\t\t\t>&nbsp;<\/td>\n\t\t\t\t\t\t\t<td class=\"gpnf-field\"\n\t\t\t\t\tdata-bind=\"html: f6.label, attr: { 'data-value': f6.label }\"\n\t\t\t\t\tdata-heading=\"Proof of Assets\"\n\t\t\t\t>&nbsp;<\/td>\n\t\t\t\t\t\t<td class=\"gpnf-row-actions\" style=\"display: none;\" data-bind=\"visible: true\">\n\t\t\t\t<ul>\n\t\t\t\t\t<li class=\"edit\"><button type=\"button\" class=\"edit-button gform-theme-button--secondary\" data-bind=\"click: $parent.editEntry, attr: { 'aria-label': 'Edit an Asset {0} where Type of Asset (including those in foreign countries) is {1}.'.gformFormat( $index() + 1, f7.label ) }\">Edit<\/button><\/li>\n\t\t\t\t\t\t\t\t\t\t<li class=\"delete\"><button type=\"button\" class=\"delete-button gform-theme-button--simple gform-theme-button--size-md\" data-bind=\"click: $parent.deleteEntry, attr: { 'aria-label': 'Delete an Asset {0} where Type of Asset (including those in foreign countries) is {1}.'.gformFormat( $index() + 1, f7.label ) }\">Delete<\/button><\/li>\n\t\t\t\t<\/ul>\n\t\t\t<\/td>\n\t\t<\/tr>\n\t\t<\/tbody>\n\n\t\t<tbody data-bind=\"visible: entries().length <= 0\">\n\t\t<tr class=\"gpnf-no-entries\" data-bind=\"visible: entries().length <= 0\" style=\"display: none;\">\n\t\t\t<td colspan=\"5\">\n\t\t\t\tThere are no <span>Assets.<\/span>\t\t\t<\/td>\n\t\t<\/tr>\n\t\t<\/tbody>\n\n\t<\/table>\n\n\t<button type=\"button\" class=\"gpnf-add-entry\"\n\t\t        data-formid=\"5\"\n\t\t        data-nestedformid=\"6\"\n\t\t\t\tdata-bind=\"attr: { disabled: isMaxed }, css: { 'gf-default-disabled': isMaxed }\"\n\t\t\t\t>\n\t\t\t\tAdd an Asset\n\t\t\t<\/button>\t\n\t\t \t<p class=\"gpnf-add-entry-max\">\n\t\t \t\tYou must add at least 1 asset.\n\t\t \t<\/p>\n<\/div>\n<input autocomplete=\"off\"  type=\"hidden\"\n                name=\"input_180\"\n                id=\"input_5_180\"\n                data-bind=\"value: entryIds\"\n                value=\"\" \/><\/div><fieldset id=\"field_5_135\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_5_135\" ><legend class='gfield_label gform-field-label' >Do you own any property?<\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_5_135'>\n\t\t\t<div class='gchoice gchoice_5_135_0'>\n\t\t\t\t\t<input autocomplete=\"off\"  class='gfield-choice-input' name='input_135' type='radio' value='Yes'  id='choice_5_135_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_135_0' id='label_5_135_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_5_135_1'>\n\t\t\t\t\t<input autocomplete=\"off\"  class='gfield-choice-input' name='input_135' type='radio' value='No'  id='choice_5_135_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_135_1' id='label_5_135_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_5_207\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_5_207\" >A household must sell their interest in the property within 180 days of starting to receive rent geared-to-income assistance. If your residence is sold while you're on the waiting list, please provide a copy of your disbursement list to review your continued eligibility for rent geared-to-income assistance. <\/div><div id=\"field_5_182\" class=\"gfield gfield--type-form gfield--input-type-form gform-theme__no-reset--children gfield--width-full field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_5_182\" ><label class='gfield_label gform-field-label' for='input_5_182'>Owned Properties<\/label><div class=\"gpnf-nested-entries-container ginput_container\">\n\n\t<table class=\"gpnf-nested-entries\">\n\n\t\t<thead>\n\t\t<tr>\n\t\t\t\t\t\t\t<th class=\"gpnf-field-5\">\n\t\t\t\t\tProperty Location\t\t\t\t<\/th>\n\t\t\t\t\t\t\t<th class=\"gpnf-field-4\">\n\t\t\t\t\tType of Property\t\t\t\t<\/th>\n\t\t\t\t\t\t\t<th class=\"gpnf-field-6\">\n\t\t\t\t\tAssessed Value\t\t\t\t<\/th>\n\t\t\t\t\t\t\t<th class=\"gpnf-field-7\">\n\t\t\t\t\tMortgage Owing\t\t\t\t<\/th>\n\t\t\t\t\t\t\t<th class=\"gpnf-field-8\">\n\t\t\t\t\tDocumentation to verify Current Value and Current Mortgage\t\t\t\t<\/th>\n\t\t\t\t\t\t<th class=\"gpnf-row-actions\"><span class=\"screen-reader-text\">Actions<\/span><\/th>\n\t\t<\/tr>\n\t\t<\/thead>\n\n\t\t<tbody data-bind=\"visible: entries().length, foreach: entries\">\n\t\t<tr data-bind=\"attr: { 'data-entryid': id }\">\n\t\t\t\t\t\t\t<td class=\"gpnf-field\"\n\t\t\t\t\tdata-bind=\"html: f5.label, attr: { 'data-value': f5.label }\"\n\t\t\t\t\tdata-heading=\"Property Location\"\n\t\t\t\t>&nbsp;<\/td>\n\t\t\t\t\t\t\t<td class=\"gpnf-field\"\n\t\t\t\t\tdata-bind=\"html: f4.label, attr: { 'data-value': f4.label }\"\n\t\t\t\t\tdata-heading=\"Type of Property\"\n\t\t\t\t>&nbsp;<\/td>\n\t\t\t\t\t\t\t<td class=\"gpnf-field\"\n\t\t\t\t\tdata-bind=\"html: f6.label, attr: { 'data-value': f6.label }\"\n\t\t\t\t\tdata-heading=\"Assessed Value\"\n\t\t\t\t>&nbsp;<\/td>\n\t\t\t\t\t\t\t<td class=\"gpnf-field\"\n\t\t\t\t\tdata-bind=\"html: f7.label, attr: { 'data-value': f7.label }\"\n\t\t\t\t\tdata-heading=\"Mortgage Owing\"\n\t\t\t\t>&nbsp;<\/td>\n\t\t\t\t\t\t\t<td class=\"gpnf-field\"\n\t\t\t\t\tdata-bind=\"html: f8.label, attr: { 'data-value': f8.label }\"\n\t\t\t\t\tdata-heading=\"Documentation to verify Current Value and Current Mortgage\"\n\t\t\t\t>&nbsp;<\/td>\n\t\t\t\t\t\t<td class=\"gpnf-row-actions\" style=\"display: none;\" data-bind=\"visible: true\">\n\t\t\t\t<ul>\n\t\t\t\t\t<li class=\"edit\"><button type=\"button\" class=\"edit-button gform-theme-button--secondary\" data-bind=\"click: $parent.editEntry, attr: { 'aria-label': 'Edit Property {0} where Property Location is {1}.'.gformFormat( $index() + 1, f5.label ) }\">Edit<\/button><\/li>\n\t\t\t\t\t\t\t\t\t\t<li class=\"delete\"><button type=\"button\" class=\"delete-button gform-theme-button--simple gform-theme-button--size-md\" data-bind=\"click: $parent.deleteEntry, attr: { 'aria-label': 'Delete Property {0} where Property Location is {1}.'.gformFormat( $index() + 1, f5.label ) }\">Delete<\/button><\/li>\n\t\t\t\t<\/ul>\n\t\t\t<\/td>\n\t\t<\/tr>\n\t\t<\/tbody>\n\n\t\t<tbody data-bind=\"visible: entries().length <= 0\">\n\t\t<tr class=\"gpnf-no-entries\" data-bind=\"visible: entries().length <= 0\" style=\"display: none;\">\n\t\t\t<td colspan=\"6\">\n\t\t\t\tThere are no <span>Properties.<\/span>\t\t\t<\/td>\n\t\t<\/tr>\n\t\t<\/tbody>\n\n\t<\/table>\n\n\t<button type=\"button\" class=\"gpnf-add-entry\"\n\t\t        data-formid=\"5\"\n\t\t        data-nestedformid=\"7\"\n\t\t\t\tdata-bind=\"attr: { disabled: isMaxed }, css: { 'gf-default-disabled': isMaxed }\"\n\t\t\t\t>\n\t\t\t\tAdd Property\n\t\t\t<\/button>\t\n\t\t\t<p class=\"gpnf-add-entry-max\" data-bind=\"visible: isMaxed\" style=\"display: none;\">\n\t\t\t\tMaximum number of properties reached.\n\t\t\t<\/p>\n<\/div>\n<input autocomplete=\"off\"  type=\"hidden\"\n                name=\"input_182\"\n                id=\"input_5_182\"\n                data-bind=\"value: entryIds\"\n                value=\"\" \/><\/div><\/div>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                        <input type='button' id='gform_previous_button_5_237' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this)' value='Previous'  \/> <input type='button' id='gform_next_button_5_237' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this)' value='Next'  \/> <button type='button'  id='gform_save_5_6_link' onclick='gform.submission.handleButtonClick(this)' class='gform_save_link gform-theme-button gform-theme-button--secondary button'  ><svg aria-hidden=\"true\" focusable=\"false\" width=\"16\" height=\"16\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path fill-rule=\"evenodd\" clip-rule=\"evenodd\" d=\"M0 8a4 4 0 004 4h3v3a1 1 0 102 0v-3h3a4 4 0 100-8 4 4 0 10-8 0 4 4 0 00-4 4zm9 4H7V7.414L5.707 8.707a1 1 0 01-1.414-1.414l3-3a1 1 0 011.414 0l3 3a1 1 0 01-1.414 1.414L9 7.414V12z\" fill=\"#6B7280\"\/><\/svg> Save and Continue Later<\/button>\n                    <\/div>\n                <\/div>\n                <div id='gform_page_5_6' class='gform_page' data-js='page-field-id-237' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_5_6' class='gform_fields top_label form_sublabel_below description_above validation_below'><div id=\"field_5_174\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_5_174\" ><h3 class=\"gsection_title\">Declaration, Release and Consent of Information<\/h3><div class='gsection_description' id='gfield_description_5_174'><br>I declare that all information given in this application is correct and complete. I understand that falsifying information may result in the cancellation of my application, tenancy or occupancy.\n<\/br><\/br>\nAny changes to the information on this application must be reported in writing within 30 days to the Housing Services Department. Failure to do so will result in the cancellation of my application or the loss of position on the waiting list. \n<\/br><\/br>\nThis application and any requested supporting documents become the property of The Corporation of the County of Lambton, Housing Services Department. This information will be used to determine eligibility of rent geared-to-income assistance and housing applied for, ongoing eligibility of rent geared-to-income assistance and housing and may be used for the appropriate rent geared-to-income charge.\n<\/br><\/br>\nI acknowledge that my personal information may be shared with various program participants as contemplated by s. 14(1)(a) of the Municipal Freedom of Information and Protection of Privacy Act, R.S.O. 1990, CHAPTER m.56\n<\/br><\/br>\nI understand that the treatment, storage and handling of my personal information is governed by the Municipal Freedom of Information and Protection of Privacy Act, R.S.O. 1990, CHAPTER m.56.\n<\/br><\/br>\nPersonal information contained on this form or in attachments is collected by The Corporation of the County of Lambton pursuant to the Municipal Freedom of Information and Protection of Privacy Act, (R. S. O. 1990, c.M.56). Inquiries relating to this collection should be directed to The Corporation of the County of Lambton, Housing Services Department, 162 Lochiel Street, Suite 100 Sarnia, ON N7T 7W5 or 519-344-2062.\n<\/br><\/br>\nPursuant to the Municipal\/Provincial Freedom of Information and Protection of Privacy Act and the Federal Privacy Act, I give my consent and authorization to The Corporation of the County of Lambton, Housing Services Department to:\n<\/br><\/br>\n<ul>\n<li>\u2022\tMake inquiries to verify the information given in this application and I authorize any person, corporation or any social agency having knowledge of any such required information to release the information to The Corporation of the County of Lambton, Housing Services Department. I agree to provide any supporting material required for my application.<\/li><\/br>\n<li>\u2022\tDisclose the information given on this form to non-profit housing corporations, co-operatives, and other municipal, provincial and federal departments and agencies providing social assistance to me and persons listed on this application.<\/li><\/br>\n<li>\u2022\tI\/We understand that my\/our rent and damage arrears information will be shared with the Housing Services Corporation and among other Service Managers through the Housing Services Corporation\u2019s Provincial Arrears Database for the purpose of verifying eligibility for assistance under the Housing Services Act.<\/li>\n<\/ul><\/div><\/div><div id=\"field_5_175\" class=\"gfield gfield--type-signature gfield--input-type-signature gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_5_175\" ><label class='gfield_label gform-field-label' for='input_5_175'>Signature<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(N\u00e9cessaire)<\/span><\/span><\/label><div class='gfield_signature_ui_container gform-theme__no-reset--children' ><div id='input_5_175_Container' class='gfield_signature_container ginput_container' style='height:180px; width:500px; ' ><input autocomplete=\"off\"  type='hidden' class='gform_hidden' name='input_5_175_valid' id='input_5_175_valid' \/><canvas id='input_5_175' width='500' height='180'><\/canvas><\/div><\/div><\/div><\/div>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                        <input type='button' id='gform_previous_button_5_115' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this)' value='Back'  \/> <input type='button' id='gform_next_button_5_115' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this)' value='Next'  \/> <button type='button'  id='gform_save_5_7_link' onclick='gform.submission.handleButtonClick(this)' class='gform_save_link gform-theme-button gform-theme-button--secondary button'  ><svg aria-hidden=\"true\" focusable=\"false\" width=\"16\" height=\"16\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path fill-rule=\"evenodd\" clip-rule=\"evenodd\" d=\"M0 8a4 4 0 004 4h3v3a1 1 0 102 0v-3h3a4 4 0 100-8 4 4 0 10-8 0 4 4 0 00-4 4zm9 4H7V7.414L5.707 8.707a1 1 0 01-1.414-1.414l3-3a1 1 0 011.414 0l3 3a1 1 0 01-1.414 1.414L9 7.414V12z\" fill=\"#6B7280\"\/><\/svg> Save and Continue Later<\/button>\n                    <\/div>\n                <\/div>\n                <div id='gform_page_5_7' class='gform_page' data-js='page-field-id-115' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_5_7' class='gform_fields top_label form_sublabel_below description_above validation_below'><div id=\"field_5_1\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_5_1\" ><h3 class=\"gsection_title\">Household Members<\/h3><\/div><div id=\"field_5_49\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_5_49\" >Please list all members who will live in the unit not including the applicant.\n<\/div><fieldset id=\"field_5_221\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield--width-full field_sublabel_below gfield--no-description field_description_above hidden_label field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_5_221\" ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Any Household Members?<\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_5_221'><div class='gchoice gchoice_5_221_1'>\n\t\t\t\t\t\t\t\t<input autocomplete=\"off\"  class='gfield-choice-input' name='input_221.1' type='checkbox'  value='I have no additional household members'  id='choice_5_221_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_221_1' id='label_5_221_1' class='gform-field-label gform-field-label--type-inline'>I have no additional household members<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_5_197\" class=\"gfield gfield--type-number gfield--input-type-number gfield--width-full gfield_calculation field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_hidden\"  data-js-reload=\"field_5_197\" ><div class=\"admin-hidden-markup\"><i class=\"gform-icon gform-icon--hidden\" aria-hidden=\"true\" title=\"This field is hidden when viewing the form\"><\/i><span>This field is hidden when viewing the form<\/span><\/div><label class='gfield_label gform-field-label' for='input_5_197'>Household Member Count<\/label><div class='ginput_container ginput_container_number'><input autocomplete=\"off\"  name='input_197' id='input_5_197' type='text' step='any'   value='' class='large'  readonly=\"readonly\"    aria-invalid=\"false\"  \/><\/div><\/div><div id=\"field_5_9\" class=\"gfield gfield--type-form gfield--input-type-form gform-theme__no-reset--children gfield--width-full field_sublabel_below gfield--no-description field_description_above hidden_label field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_5_9\" ><label class='gfield_label gform-field-label' for='input_5_9'>Household Members<\/label><div class=\"gpnf-nested-entries-container ginput_container\">\n\n\t<table class=\"gpnf-nested-entries\">\n\n\t\t<thead>\n\t\t<tr>\n\t\t\t\t\t\t\t<th class=\"gpnf-field-49\">\n\t\t\t\t\tLegal Name\t\t\t\t<\/th>\n\t\t\t\t\t\t\t<th class=\"gpnf-field-4\">\n\t\t\t\t\tGender\t\t\t\t<\/th>\n\t\t\t\t\t\t\t<th class=\"gpnf-field-5\">\n\t\t\t\t\tDate of Birth\t\t\t\t<\/th>\n\t\t\t\t\t\t\t<th class=\"gpnf-field-7\">\n\t\t\t\t\tSocial Insurance Number\t\t\t\t<\/th>\n\t\t\t\t\t\t\t<th class=\"gpnf-field-8\">\n\t\t\t\t\tRelationship\t\t\t\t<\/th>\n\t\t\t\t\t\t<th class=\"gpnf-row-actions\"><span class=\"screen-reader-text\">Actions<\/span><\/th>\n\t\t<\/tr>\n\t\t<\/thead>\n\n\t\t<tbody data-bind=\"visible: entries().length, foreach: entries\">\n\t\t<tr data-bind=\"attr: { 'data-entryid': id }\">\n\t\t\t\t\t\t\t<td class=\"gpnf-field\"\n\t\t\t\t\tdata-bind=\"html: f49.label, attr: { 'data-value': f49.label }\"\n\t\t\t\t\tdata-heading=\"Legal Name\"\n\t\t\t\t>&nbsp;<\/td>\n\t\t\t\t\t\t\t<td class=\"gpnf-field\"\n\t\t\t\t\tdata-bind=\"html: f4.label, attr: { 'data-value': f4.label }\"\n\t\t\t\t\tdata-heading=\"Gender\"\n\t\t\t\t>&nbsp;<\/td>\n\t\t\t\t\t\t\t<td class=\"gpnf-field\"\n\t\t\t\t\tdata-bind=\"html: f5.label, attr: { 'data-value': f5.label }\"\n\t\t\t\t\tdata-heading=\"Date of Birth\"\n\t\t\t\t>&nbsp;<\/td>\n\t\t\t\t\t\t\t<td class=\"gpnf-field\"\n\t\t\t\t\tdata-bind=\"html: f7.label, attr: { 'data-value': f7.label }\"\n\t\t\t\t\tdata-heading=\"Social Insurance Number\"\n\t\t\t\t>&nbsp;<\/td>\n\t\t\t\t\t\t\t<td class=\"gpnf-field\"\n\t\t\t\t\tdata-bind=\"html: f8.label, attr: { 'data-value': f8.label }\"\n\t\t\t\t\tdata-heading=\"Relationship\"\n\t\t\t\t>&nbsp;<\/td>\n\t\t\t\t\t\t<td class=\"gpnf-row-actions\" style=\"display: none;\" data-bind=\"visible: true\">\n\t\t\t\t<ul>\n\t\t\t\t\t<li class=\"edit\"><button type=\"button\" class=\"edit-button gform-theme-button--secondary\" data-bind=\"click: $parent.editEntry, attr: { 'aria-label': 'Edit Member {0} where Legal Name is {1}.'.gformFormat( $index() + 1, f49.label ) }\">Edit<\/button><\/li>\n\t\t\t\t\t\t\t\t\t\t<li class=\"delete\"><button type=\"button\" class=\"delete-button gform-theme-button--simple gform-theme-button--size-md\" data-bind=\"click: $parent.deleteEntry, attr: { 'aria-label': 'Delete Member {0} where Legal Name is {1}.'.gformFormat( $index() + 1, f49.label ) }\">Delete<\/button><\/li>\n\t\t\t\t<\/ul>\n\t\t\t<\/td>\n\t\t<\/tr>\n\t\t<\/tbody>\n\n\t\t<tbody data-bind=\"visible: entries().length <= 0\">\n\t\t<tr class=\"gpnf-no-entries\" data-bind=\"visible: entries().length <= 0\" style=\"display: none;\">\n\t\t\t<td colspan=\"6\">\n\t\t\t\tThere are no <span>Members.<\/span>\t\t\t<\/td>\n\t\t<\/tr>\n\t\t<\/tbody>\n\n\t<\/table>\n\n\t<button type=\"button\" class=\"gpnf-add-entry\"\n\t\t        data-formid=\"5\"\n\t\t        data-nestedformid=\"2\"\n\t\t\t\tdata-bind=\"attr: { disabled: isMaxed }, css: { 'gf-default-disabled': isMaxed }\"\n\t\t\t\t>\n\t\t\t\tAdd Member\n\t\t\t<\/button>\t\n\t\t\t<p class=\"gpnf-add-entry-max\" data-bind=\"visible: isMaxed\" style=\"display: none;\">\n\t\t\t\tMaximum number of members reached.\n\t\t\t<\/p>\n<\/div>\n<input autocomplete=\"off\"  type=\"hidden\"\n                name=\"input_9\"\n                id=\"input_5_9\"\n                data-bind=\"value: entryIds\"\n                value=\"\" \/><\/div><div id=\"field_5_222\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_5_222\" ><div style=\"height: 100px;\"><\/div><\/div><\/div>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                        <input type='button' id='gform_previous_button_5_72' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this)' value='Back'  \/> <input type='button' id='gform_next_button_5_72' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this)' value='Next'  \/> <button type='button'  id='gform_save_5_8_link' onclick='gform.submission.handleButtonClick(this)' class='gform_save_link gform-theme-button gform-theme-button--secondary button'  ><svg aria-hidden=\"true\" focusable=\"false\" width=\"16\" height=\"16\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path fill-rule=\"evenodd\" clip-rule=\"evenodd\" d=\"M0 8a4 4 0 004 4h3v3a1 1 0 102 0v-3h3a4 4 0 100-8 4 4 0 10-8 0 4 4 0 00-4 4zm9 4H7V7.414L5.707 8.707a1 1 0 01-1.414-1.414l3-3a1 1 0 011.414 0l3 3a1 1 0 01-1.414 1.414L9 7.414V12z\" fill=\"#6B7280\"\/><\/svg> Save and Continue Later<\/button>\n                    <\/div>\n                <\/div>\n                <div id='gform_page_5_8' class='gform_page' data-js='page-field-id-72' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_5_8' class='gform_fields top_label form_sublabel_below description_above validation_below'><div id=\"field_5_29\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_5_29\" ><h3 class=\"gsection_title\">Special Priority Status<\/h3><\/div><div id=\"field_5_30\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_5_30\" ><p>Special Priority Status is reserved for applicants who have been abused by another person residing in their household and\/or has been a victim of human trafficking.  Special Priority Status assists applicants who need subsidized housing to permanently separate from the abusing individual.<\/p>\n<p>To apply for Special Priority Status you must complete the Victim of Domestic Abuse and\/or Human Trafficking Verification form.  As part of applying for Special Priority Status, a qualified professional must complete specific sections of the Victim of Domestic Abuse and\/or Human Trafficking Verification form.  Proof of cohabitation with the abuser must also be provided for Victims of Domestic Abuse.  <\/p><\/div><fieldset id=\"field_5_37\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_5_37\" ><legend class='gfield_label gform-field-label' >Would you like us to send you a form for Special Priority Status?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(N\u00e9cessaire)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_5_37'>\n\t\t\t<div class='gchoice gchoice_5_37_0'>\n\t\t\t\t\t<input autocomplete=\"off\"  class='gfield-choice-input' name='input_37' type='radio' value='Yes'  id='choice_5_37_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_37_0' id='label_5_37_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_5_37_1'>\n\t\t\t\t\t<input autocomplete=\"off\"  class='gfield-choice-input' name='input_37' type='radio' value='No'  id='choice_5_37_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_37_1' id='label_5_37_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_5_87\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_5_87\" ><legend class='gfield_label gform-field-label' >Would you prefer the form to be mailed or emailed?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(N\u00e9cessaire)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_5_87'>\n\t\t\t<div class='gchoice gchoice_5_87_0'>\n\t\t\t\t\t<input autocomplete=\"off\"  class='gfield-choice-input' name='input_87' type='radio' value='Mail'  id='choice_5_87_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_87_0' id='label_5_87_0' class='gform-field-label gform-field-label--type-inline'>Mail<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_5_87_1'>\n\t\t\t\t\t<input autocomplete=\"off\"  class='gfield-choice-input' name='input_87' type='radio' value='Email'  id='choice_5_87_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_87_1' id='label_5_87_1' class='gform-field-label gform-field-label--type-inline'>Email<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_5_32\" class=\"gfield gfield--type-address gfield--input-type-address gfield--width-full field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_5_32\" ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Address<\/legend><div class='gfield_description' id='gfield_description_5_32'>Please provide a safe email or mailing address below<\/div>    \n                    <div class='ginput_complex ginput_container has_street has_street2 has_city has_state has_zip has_country ginput_container_address gform-grid-row' id='input_5_32' >\n                         <span class='ginput_full address_line_1 ginput_address_line_1 gform-grid-col' id='input_5_32_1_container' >\n                                        <input autocomplete=\"off\"  type='text' name='input_32.1' id='input_5_32_1' value=''    aria-required='false'    \/>\n                                        <label for='input_5_32_1' id='input_5_32_1_label' class='gform-field-label gform-field-label--type-sub '>Adresse postale<\/label>\n                                    <\/span><span class='ginput_full address_line_2 ginput_address_line_2 gform-grid-col' id='input_5_32_2_container' >\n                                        <input autocomplete=\"off\"  type='text' name='input_32.2' id='input_5_32_2' value=''     aria-required='false'   \/>\n                                        <label for='input_5_32_2' id='input_5_32_2_label' class='gform-field-label gform-field-label--type-sub '>Unit Number<\/label>\n                                    <\/span><span class='ginput_left address_city ginput_address_city gform-grid-col' id='input_5_32_3_container' >\n                                    <input autocomplete=\"off\"  type='text' name='input_32.3' id='input_5_32_3' value=''    aria-required='false'    \/>\n                                    <label for='input_5_32_3' id='input_5_32_3_label' class='gform-field-label gform-field-label--type-sub '>Ville<\/label>\n                                 <\/span><span class='ginput_right address_state ginput_address_state gform-grid-col' id='input_5_32_4_container' >\n                                        <input autocomplete=\"off\"  type='text' name='input_32.4' id='input_5_32_4' value=''      aria-required='false'    \/>\n                                        <label for='input_5_32_4' id='input_5_32_4_label' class='gform-field-label gform-field-label--type-sub '>Province \/ State \/  Region<\/label>\n                                      <\/span><span class='ginput_left address_zip ginput_address_zip gform-grid-col' id='input_5_32_5_container' >\n                                    <input autocomplete=\"off\"  type='text' name='input_32.5' id='input_5_32_5' value=''    aria-required='false'    \/>\n                                    <label for='input_5_32_5' id='input_5_32_5_label' class='gform-field-label gform-field-label--type-sub '>Postal \/ Zip Code<\/label>\n                                <\/span><span class='ginput_right address_country ginput_address_country gform-grid-col' id='input_5_32_6_container' >\n                                        <select name='input_32.6' id='input_5_32_6'   aria-required='false'    ><option value='' selected='selected'><\/option><option value='Afghanistan' >Afghanistan<\/option><option value='Afrique du Sud' >Afrique du Sud<\/option><option value='Albanie' >Albanie<\/option><option value='Alg\u00e9rie' >Alg\u00e9rie<\/option><option value='Allemagne' >Allemagne<\/option><option value='Andorre' >Andorre<\/option><option value='Angola' >Angola<\/option><option value='Anguilla' >Anguilla<\/option><option value='Antarctique' >Antarctique<\/option><option value='Antigua-et-Barbuda' >Antigua-et-Barbuda<\/option><option value='Arabie Saoudite' >Arabie Saoudite<\/option><option value='Argentine' >Argentine<\/option><option value='Arm\u00e9nie' >Arm\u00e9nie<\/option><option value='Aruba' >Aruba<\/option><option value='Australie' >Australie<\/option><option value='Autriche' >Autriche<\/option><option value='Azerba\u00efdjan' >Azerba\u00efdjan<\/option><option value='Bahamas' >Bahamas<\/option><option value='Bahre\u00efn' >Bahre\u00efn<\/option><option value='Bangladesh' >Bangladesh<\/option><option value='Belarus' >Belarus<\/option><option value='Belgique' >Belgique<\/option><option value='Belize' >Belize<\/option><option value='Bermudes' >Bermudes<\/option><option value='Bhoutan' >Bhoutan<\/option><option value='Bolivie' >Bolivie<\/option><option value='Bonaire, Saint-Eustache et Saba' >Bonaire, Saint-Eustache et Saba<\/option><option value='Bosnie-Herz\u00e9govine' >Bosnie-Herz\u00e9govine<\/option><option value='Botswana' >Botswana<\/option><option value='Brunei Darussalam' >Brunei Darussalam<\/option><option value='Br\u00e9sil' >Br\u00e9sil<\/option><option value='Bulgarie' >Bulgarie<\/option><option value='Burkina Faso' >Burkina Faso<\/option><option value='Burundi' >Burundi<\/option><option value='B\u00e9nin' >B\u00e9nin<\/option><option value='Cambodge' >Cambodge<\/option><option value='Cameroun' >Cameroun<\/option><option value='Canada' >Canada<\/option><option value='Cap-Vert' >Cap-Vert<\/option><option value='Chili' >Chili<\/option><option value='Chine' >Chine<\/option><option value='Chypre' >Chypre<\/option><option value='Colombie' >Colombie<\/option><option value='Comores' >Comores<\/option><option value='Congo' >Congo<\/option><option value='Costa Rica' >Costa Rica<\/option><option value='Croatie' >Croatie<\/option><option value='Cuba' >Cuba<\/option><option value='Cura\u00e7ao' >Cura\u00e7ao<\/option><option value='Czechia' >Czechia<\/option><option value='C\u00f4te d\u2019Ivoire' >C\u00f4te d\u2019Ivoire<\/option><option value='Danemark' >Danemark<\/option><option value='Djibouti' >Djibouti<\/option><option value='Dominique' >Dominique<\/option><option value='Espagne' >Espagne<\/option><option value='Estonie' >Estonie<\/option><option value='Eswatini' >Eswatini<\/option><option value='Fidji' >Fidji<\/option><option value='Finlande' >Finlande<\/option><option value='France' >France<\/option><option value='Gabon' >Gabon<\/option><option value='Gambie' >Gambie<\/option><option value='Ghana' >Ghana<\/option><option value='Gibraltar' >Gibraltar<\/option><option value='Grenade' >Grenade<\/option><option value='Groenland' >Groenland<\/option><option value='Gr\u00e8ce' >Gr\u00e8ce<\/option><option value='Guadeloupe' >Guadeloupe<\/option><option value='Guam' >Guam<\/option><option value='Guatemala' >Guatemala<\/option><option value='Guernesey' >Guernesey<\/option><option value='Guin\u00e9e' >Guin\u00e9e<\/option><option value='Guin\u00e9e Fran\u00e7aise' >Guin\u00e9e Fran\u00e7aise<\/option><option value='Guin\u00e9e \u00e9quatoriale' >Guin\u00e9e \u00e9quatoriale<\/option><option value='Guin\u00e9e-Bissau' >Guin\u00e9e-Bissau<\/option><option value='Guyane' >Guyane<\/option><option value='G\u00e9orgie' >G\u00e9orgie<\/option><option value='Ha\u00efti' >Ha\u00efti<\/option><option value='Heard Island and McDonald Islands' >Heard Island and McDonald Islands<\/option><option value='Honduras' >Honduras<\/option><option value='Hong Kong' >Hong Kong<\/option><option value='Hongrie' >Hongrie<\/option><option value='Iles Aland' >Iles Aland<\/option><option value='Inde' >Inde<\/option><option value='Indon\u00e9sie' >Indon\u00e9sie<\/option><option value='Irak' >Irak<\/option><option value='Iran' >Iran<\/option><option value='Irlande' >Irlande<\/option><option value='Islande' >Islande<\/option><option value='Isra\u00ebl' >Isra\u00ebl<\/option><option value='Italie' >Italie<\/option><option value='Jama\u00efque' >Jama\u00efque<\/option><option value='Japon' >Japon<\/option><option value='Jersey' >Jersey<\/option><option value='Jordanie' >Jordanie<\/option><option value='Kazakhstan' >Kazakhstan<\/option><option value='Kenya' >Kenya<\/option><option value='Kirghizistan' >Kirghizistan<\/option><option value='Kiribati' >Kiribati<\/option><option value='Korea, Democratic People&#039;s Republic of' >Korea, Democratic People&#039;s Republic of<\/option><option value='Korea, Republic of' >Korea, Republic of<\/option><option value='Kowe\u00eft' >Kowe\u00eft<\/option><option value='La Barbade' >La Barbade<\/option><option value='La R\u00e9union' >La R\u00e9union<\/option><option value='Lesotho' >Lesotho<\/option><option value='Lettonie' >Lettonie<\/option><option value='Liban' >Liban<\/option><option value='Liberia' >Liberia<\/option><option value='Libye' >Libye<\/option><option value='Liechtenstein' >Liechtenstein<\/option><option value='Lituanie' >Lituanie<\/option><option value='Luxembourg' >Luxembourg<\/option><option value='Macao' >Macao<\/option><option value='Madagascar' >Madagascar<\/option><option value='Malaisie' >Malaisie<\/option><option value='Malawi' >Malawi<\/option><option value='Maldives' >Maldives<\/option><option value='Mali' >Mali<\/option><option value='Malte' >Malte<\/option><option value='Maroc' >Maroc<\/option><option value='Martinique' >Martinique<\/option><option value='Mauritanie' >Mauritanie<\/option><option value='Mayotte' >Mayotte<\/option><option value='Mexique' >Mexique<\/option><option value='Micron\u00e9sie' >Micron\u00e9sie<\/option><option value='Moldavie' >Moldavie<\/option><option value='Monaco' >Monaco<\/option><option value='Mongolie' >Mongolie<\/option><option value='Montserrat' >Montserrat<\/option><option value='Mont\u00e9n\u00e9gro' >Mont\u00e9n\u00e9gro<\/option><option value='Mozambique' >Mozambique<\/option><option value='Myanmar' >Myanmar<\/option><option value='Namibie' >Namibie<\/option><option value='Nauru' >Nauru<\/option><option value='Nicaragua' >Nicaragua<\/option><option value='Niger' >Niger<\/option><option value='Nig\u00e9ria' >Nig\u00e9ria<\/option><option value='Niue' >Niue<\/option><option value='North Macedonia' >North Macedonia<\/option><option value='Norv\u00e8ge' >Norv\u00e8ge<\/option><option value='Nouvelle Cal\u00e9donie' >Nouvelle Cal\u00e9donie<\/option><option value='Nouvelle-Z\u00e9lande' >Nouvelle-Z\u00e9lande<\/option><option value='N\u00e9pal' >N\u00e9pal<\/option><option value='Oman' >Oman<\/option><option value='Ouganda' >Ouganda<\/option><option value='Ouzb\u00e9kistan' >Ouzb\u00e9kistan<\/option><option value='Pakistan' >Pakistan<\/option><option value='Palau' >Palau<\/option><option value='Panama' >Panama<\/option><option value='Papouasie-Nouvelle-Guin\u00e9e' >Papouasie-Nouvelle-Guin\u00e9e<\/option><option value='Paraguay' >Paraguay<\/option><option value='Pays-Bas' >Pays-Bas<\/option><option value='Philippines' >Philippines<\/option><option value='Pitcairn' >Pitcairn<\/option><option value='Pologne' >Pologne<\/option><option value='Polyn\u00e9sie fran\u00e7aise' >Polyn\u00e9sie fran\u00e7aise<\/option><option value='Porto Rico' >Porto Rico<\/option><option value='Portugal' >Portugal<\/option><option value='P\u00e9rou' >P\u00e9rou<\/option><option value='Qatar' >Qatar<\/option><option value='Roumanie' >Roumanie<\/option><option value='Royaume-Uni' >Royaume-Uni<\/option><option value='Russian Federation' >Russian Federation<\/option><option value='Rwanda' >Rwanda<\/option><option value='R\u00e9publique Dominicaine' >R\u00e9publique Dominicaine<\/option><option value='R\u00e9publique centrafricaine' >R\u00e9publique centrafricaine<\/option><option value='R\u00e9publique d\u00e9mocratique du Congo' >R\u00e9publique d\u00e9mocratique du Congo<\/option><option value='R\u00e9publique d\u00e9mocratique populaire Lao' >R\u00e9publique d\u00e9mocratique populaire Lao<\/option><option value='Sahara occidental' >Sahara occidental<\/option><option value='Saint Barth\u00e9lemy' >Saint Barth\u00e9lemy<\/option><option value='Saint Helena, Ascension and Tristan da Cunha' >Saint Helena, Ascension and Tristan da Cunha<\/option><option value='Saint Martin' >Saint Martin<\/option><option value='Saint-Christophe-et-Nevis' >Saint-Christophe-et-Nevis<\/option><option value='Saint-Marin' >Saint-Marin<\/option><option value='Saint-Martin' >Saint-Martin<\/option><option value='Saint-Pierre-et-Miquelon' >Saint-Pierre-et-Miquelon<\/option><option value='Saint-Si\u00e8ge' >Saint-Si\u00e8ge<\/option><option value='Saint-Vincent-et-les Grenadines' >Saint-Vincent-et-les Grenadines<\/option><option value='Sainte-Lucie' >Sainte-Lucie<\/option><option value='Salvador' >Salvador<\/option><option value='Samoa' >Samoa<\/option><option value='Samoa am\u00e9ricaines' >Samoa am\u00e9ricaines<\/option><option value='Sao Tom\u00e9 et Principe' >Sao Tom\u00e9 et Principe<\/option><option value='Serbie' >Serbie<\/option><option value='Seychelles' >Seychelles<\/option><option value='Sierra Leone' >Sierra Leone<\/option><option value='Singapour' >Singapour<\/option><option value='Slovaquie' >Slovaquie<\/option><option value='Slov\u00e9nie' >Slov\u00e9nie<\/option><option value='Somalie' >Somalie<\/option><option value='Soudan' >Soudan<\/option><option value='Soudan du Sud' >Soudan du Sud<\/option><option value='South Georgia and the South Sandwich Islands' >South Georgia and the South Sandwich Islands<\/option><option value='Sri Lanka' >Sri Lanka<\/option><option value='Suisse' >Suisse<\/option><option value='Suriname' >Suriname<\/option><option value='Su\u00e8de' >Su\u00e8de<\/option><option value='Svalbard and Jan Mayen' >Svalbard and Jan Mayen<\/option><option value='Syria Arab Republic' >Syria Arab Republic<\/option><option value='S\u00e9n\u00e9gal' >S\u00e9n\u00e9gal<\/option><option value='Tadjikistan' >Tadjikistan<\/option><option value='Tanzania, the United Republic of' >Tanzania, the United Republic of<\/option><option value='Ta\u00efwan' >Ta\u00efwan<\/option><option value='Tchad' >Tchad<\/option><option value='Terres australes Fran\u00e7aises' >Terres australes Fran\u00e7aises<\/option><option value='Territoire britannique de l&#039;oc\u00e9an Indien' >Territoire britannique de l&#039;oc\u00e9an Indien<\/option><option value='Tha\u00eflande' >Tha\u00eflande<\/option><option value='Timor-Leste' >Timor-Leste<\/option><option value='Togo' >Togo<\/option><option value='Tokelau' >Tokelau<\/option><option value='Tonga' >Tonga<\/option><option value='Trinit\u00e9 et Tobago' >Trinit\u00e9 et Tobago<\/option><option value='Tunisie' >Tunisie<\/option><option value='Turkm\u00e9nistan' >Turkm\u00e9nistan<\/option><option value='Tuvalu' >Tuvalu<\/option><option value='T\u00fcrkiye' >T\u00fcrkiye<\/option><option value='Ukraine' >Ukraine<\/option><option value='Uruguay' >Uruguay<\/option><option value='Vanuatu' >Vanuatu<\/option><option value='Venezuela' >Venezuela<\/option><option value='Viet Nam' >Viet Nam<\/option><option value='Wallis et Futuna' >Wallis et Futuna<\/option><option value='Y\u00e9men' >Y\u00e9men<\/option><option value='Zambie' >Zambie<\/option><option value='Zimbabwe' >Zimbabwe<\/option><option value='\u00c9gypte' >\u00c9gypte<\/option><option value='\u00c9mirats arabes unis' >\u00c9mirats arabes unis<\/option><option value='\u00c9quateur' >\u00c9quateur<\/option><option value='\u00c9rythr\u00e9e' >\u00c9rythr\u00e9e<\/option><option value='\u00c9tat palestinien' >\u00c9tat palestinien<\/option><option value='\u00c9tats-Unis' >\u00c9tats-Unis<\/option><option value='\u00c9thiopie' >\u00c9thiopie<\/option><option value='\u00cele Bouvet' >\u00cele Bouvet<\/option><option value='\u00cele Maurice' >\u00cele Maurice<\/option><option value='\u00cele de Man' >\u00cele de Man<\/option><option value='\u00cele de Norfolk' >\u00cele de Norfolk<\/option><option value='\u00cele de No\u00ebl' >\u00cele de No\u00ebl<\/option><option value='\u00celes Cayman' >\u00celes Cayman<\/option><option value='\u00celes Cocos' >\u00celes Cocos<\/option><option value='\u00celes Cook' >\u00celes Cook<\/option><option value='\u00celes Falkland' >\u00celes Falkland<\/option><option value='\u00celes F\u00e9ro\u00e9' >\u00celes F\u00e9ro\u00e9<\/option><option value='\u00celes Mariannes du Nord' >\u00celes Mariannes du Nord<\/option><option value='\u00celes Marshall' >\u00celes Marshall<\/option><option value='\u00celes Salomon' >\u00celes Salomon<\/option><option value='\u00celes Turques-et-Ca\u00efques' >\u00celes Turques-et-Ca\u00efques<\/option><option value='\u00celes Vierges am\u00e9ricaines' >\u00celes Vierges am\u00e9ricaines<\/option><option value='\u00celes Vierges britanniques' >\u00celes Vierges britanniques<\/option><option value='\u00celes mineures \u00e9loign\u00e9es des \u00c9tats-Unis' >\u00celes mineures \u00e9loign\u00e9es des \u00c9tats-Unis<\/option><\/select>\n                                        <label for='input_5_32_6' id='input_5_32_6_label' class='gform-field-label gform-field-label--type-sub '>Pays<\/label>\n                                    <\/span>\n                    <div class='gf_clear gf_clear_complex'><\/div>\n                <\/div><\/fieldset><div id=\"field_5_33\" class=\"gfield gfield--type-email gfield--input-type-email gfield--width-full field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_5_33\" ><label class='gfield_label gform-field-label' for='input_5_33'>Email<\/label><div class='ginput_container ginput_container_email'>\n                            <input autocomplete=\"off\"  name='input_33' id='input_5_33' type='email' value='' class='large'     aria-invalid=\"false\"  \/>\n                        <\/div><\/div><div id=\"field_5_34\" class=\"gfield gfield--type-phone gfield--input-type-phone gfield--width-full field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_5_34\" ><label class='gfield_label gform-field-label' for='input_5_34'>Phone Number<\/label><div class='ginput_container ginput_container_phone'><input autocomplete=\"off\"  name='input_34' id='input_5_34' type='tel' value='' class='large'    aria-invalid=\"false\"   \/><\/div><\/div><fieldset id=\"field_5_35\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield--width-full field_sublabel_below gfield--no-description field_description_above hidden_label field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_5_35\" ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Is it safe to leave voicemails<\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_5_35'><div class='gchoice gchoice_5_35_1'>\n\t\t\t\t\t\t\t\t<input autocomplete=\"off\"  class='gfield-choice-input' name='input_35.1' type='checkbox'  value='Yes'  id='choice_5_35_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_35_1' id='label_5_35_1' class='gform-field-label gform-field-label--type-inline'>It is safe to leave me voicemails at this number<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><\/div>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                        <input type='button' id='gform_previous_button_5_88' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this)' value='Back'  \/> <input type='button' id='gform_next_button_5_88' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this)' value='Next'  \/> <button type='button'  id='gform_save_5_9_link' onclick='gform.submission.handleButtonClick(this)' class='gform_save_link gform-theme-button gform-theme-button--secondary button'  ><svg aria-hidden=\"true\" focusable=\"false\" width=\"16\" height=\"16\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path fill-rule=\"evenodd\" clip-rule=\"evenodd\" d=\"M0 8a4 4 0 004 4h3v3a1 1 0 102 0v-3h3a4 4 0 100-8 4 4 0 10-8 0 4 4 0 00-4 4zm9 4H7V7.414L5.707 8.707a1 1 0 01-1.414-1.414l3-3a1 1 0 011.414 0l3 3a1 1 0 01-1.414 1.414L9 7.414V12z\" fill=\"#6B7280\"\/><\/svg> Save and Continue Later<\/button>\n                    <\/div>\n                <\/div>\n                <div id='gform_page_5_9' class='gform_page' data-js='page-field-id-88' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_5_9' class='gform_fields top_label form_sublabel_below description_above validation_below'><div id=\"field_5_36\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_5_36\" ><h3 class=\"gsection_title\">Medical Requirements<\/h3><\/div><fieldset id=\"field_5_80\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_5_80\" ><legend class='gfield_label gform-field-label' >Does any member of the household require a building with an elevator?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(N\u00e9cessaire)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_5_80'>\n\t\t\t<div class='gchoice gchoice_5_80_0'>\n\t\t\t\t\t<input autocomplete=\"off\"  class='gfield-choice-input' name='input_80' type='radio' value='Yes'  id='choice_5_80_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_80_0' id='label_5_80_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_5_80_1'>\n\t\t\t\t\t<input autocomplete=\"off\"  class='gfield-choice-input' name='input_80' type='radio' value='No'  id='choice_5_80_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_80_1' id='label_5_80_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_5_83\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_5_83\" ><legend class='gfield_label gform-field-label' >Do you require a unit on a certain floor?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(N\u00e9cessaire)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_5_83'>\n\t\t\t<div class='gchoice gchoice_5_83_0'>\n\t\t\t\t\t<input autocomplete=\"off\"  class='gfield-choice-input' name='input_83' type='radio' value='Yes'  id='choice_5_83_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_83_0' id='label_5_83_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_5_83_1'>\n\t\t\t\t\t<input autocomplete=\"off\"  class='gfield-choice-input' name='input_83' type='radio' value='No'  id='choice_5_83_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_83_1' id='label_5_83_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_5_84\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_5_84\" ><label class='gfield_label gform-field-label' for='input_5_84'>Which Floor?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(N\u00e9cessaire)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input autocomplete=\"off\"  name='input_84' id='input_5_84' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><fieldset id=\"field_5_39\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full yesno-medical gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_5_39\" ><legend class='gfield_label gform-field-label' >Does any member of the household have a medical requirement for a wheelchair modified unit?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(N\u00e9cessaire)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_5_39'>\n\t\t\t<div class='gchoice gchoice_5_39_0'>\n\t\t\t\t\t<input autocomplete=\"off\"  class='gfield-choice-input' name='input_39' type='radio' value='Yes'  id='choice_5_39_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_39_0' id='label_5_39_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_5_39_1'>\n\t\t\t\t\t<input autocomplete=\"off\"  class='gfield-choice-input' name='input_39' type='radio' value='No'  id='choice_5_39_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_39_1' id='label_5_39_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_5_183\" class=\"gfield gfield--type-repeater_start gfield--input-type-repeater_start gfield--width-full field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_5_183\" ><label class='gfield_label gform-field-label' for='input_5_183'>Medical Requirements<\/label><div class='ginput_container ginput_container_text'> <div class=\"wpforms-field-repeater-start\">\r\n\t\t\t<textarea autocomplete=\"off\"  class=\"repeater-field-header-data hidden\"><div class=\"repeater-field-header\">\r\n\t\t\t\t<div class=\"repeater-field-header-title\"> <span class=\"repeater-field-header-count\">1<\/span><\/div>\r\n\t\t\t\t<div class=\"repeater-field-header-acctions\">\r\n\t\t\t\t\t<ul>\r\n\t\t\t\t\t\t<li><i class=\"repeater-icon icon-down-open repeater-field-header-acctions-toogle\" aria-hidden=\"true\"><\/i><\/li>\r\n\t\t\t\t\t\t<li><i class=\"repeater-icon icon-cancel-1 repeater-field-header-acctions-remove\" aria-hidden=\"true\"><\/i><\/li>\r\n\t\t\t\t\t<\/ul>\r\n\t\t\t\t<\/div>\r\n\t\t\t<\/div><\/textarea>\r\n\t\t<\/div> <\/div><\/div><div id=\"field_5_90\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-half field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_5_90\" ><label class='gfield_label gform-field-label' for='input_5_90'>Select Member of the household that requires wheelchair modified unit<\/label><div class='ginput_container ginput_container_select'><select disabled=\"true\" name='input_90' id='input_5_90' class='large gfield_select'     aria-invalid=\"false\" ><option disabled=\"true\" selected value='' >&ndash; No Results &ndash;<\/option><\/select><\/div><\/div><div id=\"field_5_225\" class=\"gfield gfield--type-fileupload gfield--input-type-fileupload gfield--width-half field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_5_225\" ><label class='gfield_label gform-field-label' for='gform_browse_button_5_225'>Medical Note<\/label><div class='gfield_description' id='gfield_description_5_225'>Please provide a detailed medical note from your Doctor or Healthcare Professional which clearly specifies the reason you require the accommodation<\/div><div class='ginput_container ginput_container_fileupload'><div id='gform_multifile_upload_5_225' data-settings='{&quot;runtimes&quot;:&quot;html5,flash,html4&quot;,&quot;browse_button&quot;:&quot;gform_browse_button_5_225&quot;,&quot;container&quot;:&quot;gform_multifile_upload_5_225&quot;,&quot;drop_element&quot;:&quot;gform_drag_drop_area_5_225&quot;,&quot;filelist&quot;:&quot;gform_preview_5_225&quot;,&quot;unique_names&quot;:true,&quot;file_data_name&quot;:&quot;file&quot;,&quot;url&quot;:&quot;https:\\\/\\\/housingdevelopment.county-lambton.on.ca\\\/?gf_page=6e09d9d2b26667e&quot;,&quot;flash_swf_url&quot;:&quot;https:\\\/\\\/housingdevelopment.county-lambton.on.ca\\\/wp-includes\\\/js\\\/plupload\\\/plupload.flash.swf&quot;,&quot;silverlight_xap_url&quot;:&quot;https:\\\/\\\/housingdevelopment.county-lambton.on.ca\\\/wp-includes\\\/js\\\/plupload\\\/plupload.silverlight.xap&quot;,&quot;filters&quot;:{&quot;mime_types&quot;:[{&quot;title&quot;:&quot;Fichiers autoris\\u00e9s&quot;,&quot;extensions&quot;:&quot;jpg,jpeg,gif,png,heic,pdf,doc,docx&quot;}],&quot;max_file_size&quot;:&quot;10485760b&quot;},&quot;multipart&quot;:true,&quot;urlstream_upload&quot;:false,&quot;multipart_params&quot;:{&quot;form_id&quot;:5,&quot;field_id&quot;:225},&quot;gf_vars&quot;:{&quot;max_files&quot;:0,&quot;message_id&quot;:&quot;gform_multifile_messages_5_225&quot;,&quot;disallowed_extensions&quot;:[&quot;php&quot;,&quot;asp&quot;,&quot;aspx&quot;,&quot;cmd&quot;,&quot;csh&quot;,&quot;bat&quot;,&quot;html&quot;,&quot;htm&quot;,&quot;hta&quot;,&quot;jar&quot;,&quot;exe&quot;,&quot;com&quot;,&quot;js&quot;,&quot;lnk&quot;,&quot;htaccess&quot;,&quot;phtml&quot;,&quot;ps1&quot;,&quot;ps2&quot;,&quot;php3&quot;,&quot;php4&quot;,&quot;php5&quot;,&quot;php6&quot;,&quot;py&quot;,&quot;rb&quot;,&quot;tmp&quot;]}}' class='gform_fileupload_multifile'>\n\t\t\t\t\t\t\t\t\t\t<div id='gform_drag_drop_area_5_225' class='gform_drop_area gform-theme-field-control'>\n\t\t\t\t\t\t\t\t\t\t\t<span class='gform_drop_instructions'>D\u00e9poser les fichiers ici ou <\/span>\n\t\t\t\t\t\t\t\t\t\t\t<button type='button' id='gform_browse_button_5_225' class='button gform_button_select_files gform-theme-button gform-theme-button--control' aria-describedby=\"gfield_upload_rules_5_225 gfield_description_5_225\"  >S\u00e9lectionnez des fichiers<\/button>\n\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<\/div><span class='gfield_description gform_fileupload_rules' id='gfield_upload_rules_5_225'>Types de fichier accept\u00e9s\u00a0: jpg, jpeg, gif, png, heic, pdf, doc, docx, Taille maximum des fichiers : 10 MB.<\/span><ul class='validation_message--hidden-on-empty gform-ul-reset' id='gform_multifile_messages_5_225'><\/ul> <!-- Leave <ul> empty to support CSS :empty selector. --><\/div><div id='gform_preview_5_225' class='ginput_preview_list'><\/div><\/div><div id=\"field_5_184\" class=\"gfield gfield--type-repeater_end gfield--input-type-repeater_end gfield--width-full medical-notes-repeater field_sublabel_below gfield--no-description field_description_above hidden_label field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_5_184\" ><label class='gfield_label gform-field-label' for='input_5_184'><\/label><div class='ginput_container'><div class=\"repeater-field-warp-item-data\" data-initial_rows=\"0\" data-limit=\"9999\" data-initial_rows_map=\"input_5_\" data-map_id=\"field_5_184\">\r\n\t\t\t<div class=\"repeater-field-warp-item\">\r\n\t\t\t<\/div>\r\n\t\t\t<div class=\"repeater-field-footer\"><a href=\"#\"\" class=\"gf-repeater-field-button-add\" >Add Another Medical Note<\/a><\/div>\r\n\t\t\t<input autocomplete=\"off\"  data-initial_rows_map='input_5_' data-map_id='field_5_184' name='input_184' id='input_5_184' type='hidden' value='' class='large gf-field-repeater-data hidden'    aria-invalid=\"false\" \/>\r\n\t\t\t<textarea autocomplete=\"off\"  class=\"gf-field-repeater-data-html hidden\"><\/textarea>\r\n\t\t<\/div><\/div><\/div><fieldset id=\"field_5_41\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield--width-full field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_5_41\" ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Do you require an extra bedroom for any of the following reasons:<\/legend><div class='gfield_description' id='gfield_description_5_41'>Select all that apply<\/div><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_5_41'><div class='gchoice gchoice_5_41_1'>\n\t\t\t\t\t\t\t\t<input autocomplete=\"off\"  class='gfield-choice-input' name='input_41.1' type='checkbox'  value='To store medical equipment required by a member of the household because of a disability or medical condition'  id='choice_5_41_1'   aria-describedby=\"gfield_description_5_41\"\/>\n\t\t\t\t\t\t\t\t<label for='choice_5_41_1' id='label_5_41_1' class='gform-field-label gform-field-label--type-inline'>To store medical equipment required by a member of the household because of a disability or medical condition<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_5_41_2'>\n\t\t\t\t\t\t\t\t<input autocomplete=\"off\"  class='gfield-choice-input' name='input_41.2' type='checkbox'  value='A spouse requires a separate bedroom because of a disability or medical condition'  id='choice_5_41_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_41_2' id='label_5_41_2' class='gform-field-label gform-field-label--type-inline'>A spouse requires a separate bedroom because of a disability or medical condition<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_5_42\" class=\"gfield gfield--type-fileupload gfield--input-type-fileupload gfield--width-full field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_5_42\" ><label class='gfield_label gform-field-label' for='input_5_42'>Medical Note<\/label><div class='gfield_description' id='gfield_description_5_42'>Please provide a detailed medical note from your Doctor or Healthcare Professional which clearly specifies the reason you require the accommodation<\/div><div class='ginput_container ginput_container_fileupload'><input autocomplete=\"off\"  name='input_42' id='input_5_42' type='file' class='large' aria-describedby=\"gfield_upload_rules_5_42 gfield_description_5_42\" onchange='javascript:gformValidateFileSize( this, 21474836480 );'  \/><span class='gfield_description gform_fileupload_rules' id='gfield_upload_rules_5_42'>Types de fichier accept\u00e9s\u00a0: jpg, jpeg, gif, png, heic, pdf, doc, docx, Taille maximum des fichiers : 20 GB.<\/span><div class='gfield_description validation_message gfield_validation_message validation_message--hidden-on-empty' id='live_validation_message_5_42'><\/div><\/div><\/div><fieldset id=\"field_5_43\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_hidden\"  data-js-reload=\"field_5_43\" ><div class=\"admin-hidden-markup\"><i class=\"gform-icon gform-icon--hidden\" aria-hidden=\"true\" title=\"This field is hidden when viewing the form\"><\/i><span>This field is hidden when viewing the form<\/span><\/div><legend class='gfield_label gform-field-label' >Does any member of the household require support services in order to live independently?<\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_5_43'>\n\t\t\t<div class='gchoice gchoice_5_43_0'>\n\t\t\t\t\t<input autocomplete=\"off\"  class='gfield-choice-input' name='input_43' type='radio' value='Yes'  id='choice_5_43_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_43_0' id='label_5_43_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_5_43_1'>\n\t\t\t\t\t<input autocomplete=\"off\"  class='gfield-choice-input' name='input_43' type='radio' value='No'  id='choice_5_43_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_43_1' id='label_5_43_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_5_45\" class=\"gfield gfield--type-fileupload gfield--input-type-fileupload gfield--width-full field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_hidden\"  data-js-reload=\"field_5_45\" ><div class=\"admin-hidden-markup\"><i class=\"gform-icon gform-icon--hidden\" aria-hidden=\"true\" title=\"This field is hidden when viewing the form\"><\/i><span>This field is hidden when viewing the form<\/span><\/div><label class='gfield_label gform-field-label' for='input_5_45'>Support Agency Letter<\/label><div class='gfield_description' id='gfield_description_5_45'>If you are able, please provide a letter form your Support Agency outlining the supports you require.<\/div><div class='ginput_container ginput_container_fileupload'><input autocomplete=\"off\"  name='input_45' id='input_5_45' type='file' class='large' aria-describedby=\"gfield_upload_rules_5_45 gfield_description_5_45\" onchange='javascript:gformValidateFileSize( this, 21474836480 );'  \/><span class='gfield_description gform_fileupload_rules' id='gfield_upload_rules_5_45'>Types de fichier accept\u00e9s\u00a0: jpg, jpeg, gif, png, heic, pdf, doc, docx, Taille maximum des fichiers : 20 GB.<\/span><div class='gfield_description validation_message gfield_validation_message validation_message--hidden-on-empty' id='live_validation_message_5_45'><\/div><\/div><\/div><div id=\"field_5_103\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-full gfield_html gfield_html_formatted field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_hidden\"  data-js-reload=\"field_5_103\" >Supported units are units that are associated with March of Dimes, Community Living or Lambton County Developmental Services where individuals receive specific services from these agencies to assist them in living independently.<\/div><fieldset id=\"field_5_94\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_5_94\" ><legend class='gfield_label gform-field-label' >Does any member of the household require support services in order to live independently?<\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_5_94'>\n\t\t\t<div class='gchoice gchoice_5_94_0'>\n\t\t\t\t\t<input autocomplete=\"off\"  class='gfield-choice-input' name='input_94' type='radio' value='Yes'  id='choice_5_94_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_94_0' id='label_5_94_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_5_94_1'>\n\t\t\t\t\t<input autocomplete=\"off\"  class='gfield-choice-input' name='input_94' type='radio' value='No'  id='choice_5_94_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_94_1' id='label_5_94_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_5_102\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_5_102\" ><label class='gfield_label gform-field-label' for='input_5_102'>Support Agency<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(N\u00e9cessaire)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_102' id='input_5_102' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>Please select the Supporting Agency<\/option><option value='March of Dimes' >March of Dimes<\/option><option value='Lambton County Developmental Services' >Lambton County Developmental Services<\/option><option value='Community Living' >Community Living<\/option><option value='Other' >Other<\/option><\/select><\/div><\/div><div id=\"field_5_44\" class=\"gfield gfield--type-textarea gfield--input-type-textarea gfield--width-full field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_5_44\" ><label class='gfield_label gform-field-label' for='input_5_44'>Please identify the household member and the supports they require<\/label><div class='ginput_container ginput_container_textarea'><textarea autocomplete=\"off\"  name='input_44' id='input_5_44' class='textarea large'      aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><div id=\"field_5_95\" class=\"gfield gfield--type-fileupload gfield--input-type-fileupload gfield--width-full field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_5_95\" ><label class='gfield_label gform-field-label' for='input_5_95'>If you have an approval letter from the agency, please upload here<\/label><div class='ginput_container ginput_container_fileupload'><input autocomplete=\"off\"  name='input_95' id='input_5_95' type='file' class='large' aria-describedby=\"gfield_upload_rules_5_95\" onchange='javascript:gformValidateFileSize( this, 21474836480 );'  \/><span class='gfield_description gform_fileupload_rules' id='gfield_upload_rules_5_95'>Types de fichier accept\u00e9s\u00a0: jpg, jpeg, gif, png, heic, pdf, doc, docx, Taille maximum des fichiers : 20 GB.<\/span><div class='gfield_description validation_message gfield_validation_message validation_message--hidden-on-empty' id='live_validation_message_5_95'><\/div><\/div><\/div><div id=\"field_5_97\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_5_97\" ><\/div><\/div>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                        <input type='button' id='gform_previous_button_5_92' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this)' value='Back'  \/> <input type='button' id='gform_next_button_5_92' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this)' value='Next'  \/> <button type='button'  id='gform_save_5_10_link' onclick='gform.submission.handleButtonClick(this)' class='gform_save_link gform-theme-button gform-theme-button--secondary button'  ><svg aria-hidden=\"true\" focusable=\"false\" width=\"16\" height=\"16\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path fill-rule=\"evenodd\" clip-rule=\"evenodd\" d=\"M0 8a4 4 0 004 4h3v3a1 1 0 102 0v-3h3a4 4 0 100-8 4 4 0 10-8 0 4 4 0 00-4 4zm9 4H7V7.414L5.707 8.707a1 1 0 01-1.414-1.414l3-3a1 1 0 011.414 0l3 3a1 1 0 01-1.414 1.414L9 7.414V12z\" fill=\"#6B7280\"\/><\/svg> Save and Continue Later<\/button>\n                    <\/div>\n                <\/div>\n                <div id='gform_page_5_10' class='gform_page' data-js='page-field-id-92' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_5_10' class='gform_fields top_label form_sublabel_below description_above validation_below'><fieldset id=\"field_5_98\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield--width-full field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_5_98\" ><legend class='gfield_label gform-field-label gfield_label_before_complex' >A household is eligible for the largest unit with one bedroom for every two spouses and one additional bedroom for each extra household member. Please indicate your preferred unit size by checking all that apply.<\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_5_98'><div class='gchoice gchoice_5_98_1'>\n\t\t\t\t\t\t\t\t<input autocomplete=\"off\"  class='gfield-choice-input' name='input_98.1' type='checkbox'  value='Bachelor'  id='choice_5_98_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_98_1' id='label_5_98_1' class='gform-field-label gform-field-label--type-inline'>Bachelor<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_5_98_2'>\n\t\t\t\t\t\t\t\t<input autocomplete=\"off\"  class='gfield-choice-input' name='input_98.2' type='checkbox'  value='1 Bedroom'  id='choice_5_98_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_98_2' id='label_5_98_2' class='gform-field-label gform-field-label--type-inline'>1 Bedroom<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_5_98_3'>\n\t\t\t\t\t\t\t\t<input autocomplete=\"off\"  class='gfield-choice-input' name='input_98.3' type='checkbox'  value='2 Bedroom'  id='choice_5_98_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_98_3' id='label_5_98_3' class='gform-field-label gform-field-label--type-inline'>2 Bedroom<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_5_98_4'>\n\t\t\t\t\t\t\t\t<input autocomplete=\"off\"  class='gfield-choice-input' name='input_98.4' type='checkbox'  value='3 Bedroom'  id='choice_5_98_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_98_4' id='label_5_98_4' class='gform-field-label gform-field-label--type-inline'>3 Bedroom<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_5_98_5'>\n\t\t\t\t\t\t\t\t<input autocomplete=\"off\"  class='gfield-choice-input' name='input_98.5' type='checkbox'  value='4 Bedroom'  id='choice_5_98_5'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_98_5' id='label_5_98_5' class='gform-field-label gform-field-label--type-inline'>4 Bedroom<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_5_98_6'>\n\t\t\t\t\t\t\t\t<input autocomplete=\"off\"  class='gfield-choice-input' name='input_98.6' type='checkbox'  value='5 Bedroom'  id='choice_5_98_6'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_98_6' id='label_5_98_6' class='gform-field-label gform-field-label--type-inline'>5 Bedroom<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><\/div>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                        <input type='button' id='gform_previous_button_5_85' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this)' value='Back'  \/> <input type='button' id='gform_next_button_5_85' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this)' value='Next'  \/> <button type='button'  id='gform_save_5_11_link' onclick='gform.submission.handleButtonClick(this)' class='gform_save_link gform-theme-button gform-theme-button--secondary button'  ><svg aria-hidden=\"true\" focusable=\"false\" width=\"16\" height=\"16\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path fill-rule=\"evenodd\" clip-rule=\"evenodd\" d=\"M0 8a4 4 0 004 4h3v3a1 1 0 102 0v-3h3a4 4 0 100-8 4 4 0 10-8 0 4 4 0 00-4 4zm9 4H7V7.414L5.707 8.707a1 1 0 01-1.414-1.414l3-3a1 1 0 011.414 0l3 3a1 1 0 01-1.414 1.414L9 7.414V12z\" fill=\"#6B7280\"\/><\/svg> Save and Continue Later<\/button>\n                    <\/div>\n                <\/div>\n                <div id='gform_page_5_11' class='gform_page' data-js='page-field-id-85' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_5_11' class='gform_fields top_label form_sublabel_below description_above validation_below'><div id=\"field_5_100\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_5_100\" ><p>You will receive one (1) offer of housing. If you decline this offer, you may be removed from the waitlist. Please carefully select only options you are willing to accept.<\/p>\n<p>For questions about your preferences, medical accommodations, or additional information about building complexes, please call the Access Coordinator at 519-344-2062, ext. 2200.<\/p>\n<p>Please click and select the location(s) where you would like to live. If you select locations for which you are not eligible, your name will not be placed on those waiting lists.<\/p>\n<\/div><div id=\"field_5_192\" class=\"gfield gfield--type-hidden gfield--input-type-hidden gfield--width-full gform_hidden field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_5_192\" ><div class='ginput_container ginput_container_text'><input autocomplete=\"off\"  name='input_192' id='input_5_192' type='hidden' class='gform_hidden'  aria-invalid=\"false\" value='' \/><\/div><\/div><div id=\"field_5_50\" class=\"gfield gfield--type-housing_selection gfield--input-type-housing_selection gfield--width-full field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_5_50\" ><label class='gfield_label gform-field-label screen-reader-text' for='input_5_50'><\/label><div class=\"housing-options\"><div class=\"accordion-section\"><h3 class=\"gsection_title accordion-header\" id=\"accordion-0\"><i class=\"fa-solid fa-caret-down\" style=\"margin-right: 20px;\"><\/i>Sarnia<\/h3><div class=\"accordion-content\" data-accordion=\"accordion-0\" style=\"display:none;\"><div class=\"housing-option\" data-id=\"11905\"><div class=\"housing-location\"><h4 class=\"housing-location-name\">Alexander MacKenzie<\/h4><p>1625 Afton Court<\/p><p>Sarnia, Ontario, N7S 5Y6<\/p><p><a href=\"#\" class=\"map-popup-link\" data-mfp-src=\"https:\/\/maps.google.com\/maps?q=1625+Afton+Court%2C+Sarnia%2C+Ontario%2C+N7S+5Y6&#038;output=embed\">View on Map<\/a><\/p><div class=\"housing-images\"><\/div><\/div><div class=\"housing-details\"><h4>Building Type<\/h4><p>Townhouse<\/p><h4>Unit Sizes<\/h4><p>2 Bedroom<br>3 Bedroom<\/p><h4>Program<\/h4><p>Co-operative Housing Provider<br>Rent Supplement Units<\/p><\/div><div class=\"housing-notes\"><h4>Amenities and Notes<\/h4><div class=\"amenities-container\"><p><i class=\"fa-solid fa-dollar-sign amenity-icon\"><\/i> Utilities Extra <\/p><p><i class=\"fa-solid fa-dollar-sign amenity-icon\"><\/i> Pet Deposit <\/p><p><i class=\"fa-solid fa-dollar-sign amenity-icon\"><\/i> Security Deposit <\/p><p><i class=\"fa-solid fa-check amenity-icon\"><\/i> Laundry Hookups <\/p><\/div><\/div><input autocomplete=\"off\"  type=\"checkbox\" name=\"housing_selection_name[]\" value=\"Alexander MacKenzie\" class=\"housing-selection-checkbox\" style=\"display:none;\"><\/div><div class=\"housing-option\" data-id=\"11913\"><div class=\"housing-location\"><h4 class=\"housing-location-name\">Faethorne<\/h4><p>1240 Afton Drive<\/p><p>Sarnia, Ontario, N7S 1P3<\/p><p><a href=\"#\" class=\"map-popup-link\" data-mfp-src=\"https:\/\/maps.google.com\/maps?q=1240+Afton+Drive%2C+Sarnia%2C+Ontario%2C+N7S+1P3&#038;output=embed\">View on Map<\/a><\/p><div class=\"housing-images\"><\/div><\/div><div class=\"housing-details\"><h4>Building Type<\/h4><p>Townhouse, Apartment<\/p><h4>Unit Sizes<\/h4><p>1 Bedroom<br>2 Bedroom<br>3 Bedroom<\/p><h4>Program<\/h4><p>Co-operative Housing Provider<br>Non Profit Housing Provider<\/p><\/div><div class=\"housing-notes\"><h4>Amenities and Notes<\/h4><div class=\"amenities-container\"><p><i class=\"fa-solid fa-paw amenity-icon\"><\/i> Pet Restrictions *<\/p><p><i class=\"fa-solid fa-dollar-sign amenity-icon\"><\/i> Pet Deposit <\/p><p><i class=\"fa-solid fa-dollar-sign amenity-icon\"><\/i> Security Deposit <\/p><p><i class=\"fa-solid fa-elevator amenity-icon\"><\/i> Elevator <\/p><p><i class=\"fa-solid fa-wheelchair amenity-icon\"><\/i> Wheelchair Modified Units <\/p><p><i class=\"bx bxs-washer amenity-icon\"><\/i> Laundry Facilities <\/p><\/div><p class='pet-policy'>* No Dogs<\/p><\/br><h4><i class='fa-solid fa-wheelchair'><\/i> Wheelchair Modified Units available:<\/strong><\/h4><p>1 Bedroom<\/p><p>2 Bedroom<\/p><\/div><input autocomplete=\"off\"  type=\"checkbox\" name=\"housing_selection_name[]\" value=\"Faethorne\" class=\"housing-selection-checkbox\" style=\"display:none;\"><\/div><div class=\"housing-option\" data-id=\"12054\"><div class=\"housing-location\"><h4 class=\"housing-location-name\">Canterbury Court<\/h4><p> Canterbury Court<\/p><p>Sarnia, Ontario, <\/p><p><a href=\"#\" class=\"map-popup-link\" data-mfp-src=\"https:\/\/maps.google.com\/maps?q=+Canterbury+Court%2C+Sarnia%2C+Ontario%2C+&#038;output=embed\">View on Map<\/a><\/p><div class=\"housing-images\"><\/div><\/div><div class=\"housing-details\"><h4>Building Type<\/h4><p>Apartment<\/p><h4>Unit Sizes<\/h4><p>1 Bedroom<br>2 Bedroom<\/p><h4>Program<\/h4><p>Rent Supplement Units<\/p><\/div><div class=\"housing-notes\"><h4>Amenities and Notes<\/h4><div class=\"amenities-container\"><p><i class=\"fa-solid fa-check amenity-icon\"><\/i> Hydro Extra <\/p><p><i class=\"bx bxs-washer amenity-icon\"><\/i> Laundry Facilities <\/p><p><i class=\"fa-classic fa-solid fa-elevator amenity-icon\"><\/i> Elevator (1 Building) <\/p><p><i class=\"fa-classic fa-solid fa-stairs amenity-icon\"><\/i> Walk-Up (3 Buildings) <\/p><\/div><\/div><input autocomplete=\"off\"  type=\"checkbox\" name=\"housing_selection_name[]\" value=\"Canterbury Court\" class=\"housing-selection-checkbox\" style=\"display:none;\"><\/div><div class=\"housing-option\" data-id=\"11931\"><div class=\"housing-location\"><h4 class=\"housing-location-name\">Capel Manor<\/h4><p>230 Capel Street<\/p><p>Sarnia, Ontario, N7T 7P9<\/p><p><a href=\"#\" class=\"map-popup-link\" data-mfp-src=\"https:\/\/maps.google.com\/maps?q=230+Capel+Street%2C+Sarnia%2C+Ontario%2C+N7T+7P9&#038;output=embed\">View on Map<\/a><\/p><div class=\"housing-images\"><\/div><\/div><div class=\"housing-details\"><h4>Building Type<\/h4><p>Apartment<\/p><h4>Unit Sizes<\/h4><p>1 Bedroom<\/p><h4>Program<\/h4><p>County of Lambton Owned Unit<\/p><\/div><div class=\"housing-notes\"><h4>Amenities and Notes<\/h4><div class=\"amenities-container\"><p><i class=\"fa-solid fa-elevator amenity-icon\"><\/i> Elevator <\/p><p><i class=\"bx bxs-washer amenity-icon\"><\/i> Laundry Facilities <\/p><\/div><\/div><input autocomplete=\"off\"  type=\"checkbox\" name=\"housing_selection_name[]\" value=\"Capel Manor\" class=\"housing-selection-checkbox\" style=\"display:none;\"><\/div><div class=\"housing-option\" data-id=\"12073\"><div class=\"housing-location\"><h4 class=\"housing-location-name\">Jubilee Gardens<\/h4><p>700 Cathcart Boulevard<\/p><p>Sarnia, Ontario, N7V 2N5<\/p><p><a href=\"#\" class=\"map-popup-link\" data-mfp-src=\"https:\/\/maps.google.com\/maps?q=700+Cathcart+Boulevard%2C+Sarnia%2C+Ontario%2C+N7V+2N5&#038;output=embed\">View on Map<\/a><\/p><div class=\"housing-images\"><\/div><\/div><div class=\"housing-details\"><h4>Building Type<\/h4><p>Apartment<\/p><h4>Unit Sizes<\/h4><p>1 Bedroom<\/p><h4>Program<\/h4><p>County of Lambton Owned Unit<\/p><\/div><div class=\"housing-notes\"><h4>Amenities and Notes<\/h4><div class=\"amenities-container\"><p><i class=\"bx bxs-washer amenity-icon\"><\/i> Laundry Facilities <\/p><p><i class=\"fa-classic fa-solid fa-elevator amenity-icon\"><\/i> LULA Lift Available <i class=\"fa fa-question-circle\" data-tooltip=\"Limited Use Limited Application Elevator: A small, energy-efficient elevator designed for low-rise buildings where accessibility is required but usage is limited.\"><\/i><\/p><\/div><\/br><h4><i class='fa-solid fa-wheelchair'><\/i> Wheelchair Modified Units available:<\/strong><\/h4><p>1 Bedroom<\/p><\/div><input autocomplete=\"off\"  type=\"checkbox\" name=\"housing_selection_name[]\" value=\"Jubilee Gardens\" class=\"housing-selection-checkbox\" style=\"display:none;\"><\/div><div class=\"housing-option\" data-id=\"12087\"><div class=\"housing-location\"><h4 class=\"housing-location-name\">925 Colborne<\/h4><p>925 Colborne Road<\/p><p>Sarnia, Ontario, N7V 3K4<\/p><p><a href=\"#\" class=\"map-popup-link\" data-mfp-src=\"https:\/\/maps.google.com\/maps?q=925+Colborne+Road%2C+Sarnia%2C+Ontario%2C+N7V+3K4&#038;output=embed\">View on Map<\/a><\/p><div class=\"housing-images\"><\/div><\/div><div class=\"housing-details\"><h4>Building Type<\/h4><p>Apartment<\/p><h4>Unit Sizes<\/h4><p>1 Bedroom<br>2 Bedroom<\/p><h4>Program<\/h4><p>Rent Supplement Units<\/p><\/div><div class=\"housing-notes\"><h4>Amenities and Notes<\/h4><div class=\"amenities-container\"><p><i class=\"fa-classic fa-solid fa-check amenity-icon\"><\/i> Walk-Up <\/p><p><i class=\"fa-classic fa-solid fa-ban amenity-icon\"><\/i> No Balconies <\/p><\/div><\/div><input autocomplete=\"off\"  type=\"checkbox\" name=\"housing_selection_name[]\" value=\"925 Colborne\" class=\"housing-selection-checkbox\" style=\"display:none;\"><\/div><div class=\"housing-option\" data-id=\"12092\"><div class=\"housing-location\"><h4 class=\"housing-location-name\">Valley View<\/h4><p>914 Confederation Street<\/p><p>Sarnia, Ontario, N7S 1A1<\/p><p><a href=\"#\" class=\"map-popup-link\" data-mfp-src=\"https:\/\/maps.google.com\/maps?q=914+Confederation+Street%2C+Sarnia%2C+Ontario%2C+N7S+1A1&#038;output=embed\">View on Map<\/a><\/p><div class=\"housing-images\"><\/div><\/div><div class=\"housing-details\"><h4>Building Type<\/h4><p>Townhouse<\/p><h4>Unit Sizes<\/h4><p>2 Bedroom<br>3 Bedroom<br>4 Bedroom<\/p><h4>Program<\/h4><p>County of Lambton Owned Unit<\/p><\/div><div class=\"housing-notes\"><h4>Amenities and Notes<\/h4><div class=\"amenities-container\"><p><i class=\"fa-solid fa-check amenity-icon\"><\/i> Appliances not Included <\/p><\/div><\/div><input autocomplete=\"off\"  type=\"checkbox\" name=\"housing_selection_name[]\" value=\"Valley View\" class=\"housing-selection-checkbox\" style=\"display:none;\"><\/div><div class=\"housing-option\" data-id=\"12100\"><div class=\"housing-location\"><h4 class=\"housing-location-name\">Copland<\/h4><p>747 Copland Road<\/p><p>Sarnia, Ontario, N7T 7B6<\/p><p><a href=\"#\" class=\"map-popup-link\" data-mfp-src=\"https:\/\/maps.google.com\/maps?q=747+Copland+Road%2C+Sarnia%2C+Ontario%2C+N7T+7B6&#038;output=embed\">View on Map<\/a><\/p><div class=\"housing-images\"><\/div><\/div><div class=\"housing-details\"><h4>Building Type<\/h4><p>Apartment<\/p><h4>Unit Sizes<\/h4><p>1 Bedroom<\/p><h4>Program<\/h4><p>Rent Supplement Units<br>Supported<\/p><\/div><div class=\"housing-notes\"><h4>Amenities and Notes<\/h4><div class=\"amenities-container\"><p><i class=\"bx bxs-washer amenity-icon\"><\/i> Laundry Facilities <\/p><\/div><\/br><h4><i class='fa-solid fa-wheelchair'><\/i> Wheelchair Modified Units available:<\/strong><\/h4><p>1 Bedroom<\/p><\/div><input autocomplete=\"off\"  type=\"checkbox\" name=\"housing_selection_name[]\" value=\"Copland\" class=\"housing-selection-checkbox\" style=\"display:none;\"><\/div><div class=\"housing-option\" data-id=\"12361\"><div class=\"housing-location\"><h4 class=\"housing-location-name\">Devine Street<\/h4><p>244 Devine Street<\/p><p>Sarnia, Ontario, N7T 2R7<\/p><p><a href=\"#\" class=\"map-popup-link\" data-mfp-src=\"https:\/\/maps.google.com\/maps?q=244+Devine+Street%2C+Sarnia%2C+Ontario%2C+N7T+2R7&#038;output=embed\">View on Map<\/a><\/p><div class=\"housing-images\"><\/div><\/div><div class=\"housing-details\"><h4>Building Type<\/h4><p>Apartment<\/p><h4>Unit Sizes<\/h4><p>1 Bedroom<\/p><h4>Program<\/h4><p>County of Lambton Owned Unit<\/p><\/div><div class=\"housing-notes\"><h4>Amenities and Notes<\/h4><div class=\"amenities-container\"><p><i class=\"fa-solid fa-check amenity-icon\"><\/i> Appliances not Included <\/p><p><i class=\"fa-solid fa-check amenity-icon\"><\/i> Laundry Hookups <\/p><p><i class=\"fa-classic fa-solid fa-check amenity-icon\"><\/i> Fenced in yard for ground floor apartment <\/p><p><i class=\"fa-classic fa-solid fa-check amenity-icon\"><\/i> Fenced in concrete patio for upstairs apartment <\/p><p><i class=\"fa-classic fa-solid fa-check amenity-icon\"><\/i> Grass maintained by County of Lambton <\/p><\/div><\/div><input autocomplete=\"off\"  type=\"checkbox\" name=\"housing_selection_name[]\" value=\"Devine Street\" class=\"housing-selection-checkbox\" style=\"display:none;\"><\/div><div class=\"housing-option\" data-id=\"12104\"><div class=\"housing-location\"><h4 class=\"housing-location-name\">Avondale Apartments<\/h4><p>125 Euphemia Street South<\/p><p>Sarnia, Ontario, N7T 2Y6<\/p><p><a href=\"#\" class=\"map-popup-link\" data-mfp-src=\"https:\/\/maps.google.com\/maps?q=125+Euphemia+Street+South%2C+Sarnia%2C+Ontario%2C+N7T+2Y6&#038;output=embed\">View on Map<\/a><\/p><div class=\"housing-images\"><\/div><\/div><div class=\"housing-details\"><h4>Building Type<\/h4><p>Apartment<\/p><h4>Unit Sizes<\/h4><p>1 Bedroom<\/p><h4>Program<\/h4><p>County of Lambton Owned Unit<\/p><\/div><div class=\"housing-notes\"><h4>Amenities and Notes<\/h4><div class=\"amenities-container\"><p><i class=\"fa-solid fa-elevator amenity-icon\"><\/i> Elevator <\/p><p><i class=\"bx bxs-washer amenity-icon\"><\/i> Laundry Facilities <\/p><\/div><\/br><h4><i class='fa-solid fa-wheelchair'><\/i> Wheelchair Modified Units available:<\/strong><\/h4><p>2 Bedroom<\/p><\/div><input autocomplete=\"off\"  type=\"checkbox\" name=\"housing_selection_name[]\" value=\"Avondale Apartments\" class=\"housing-selection-checkbox\" style=\"display:none;\"><\/div><div class=\"housing-option\" data-id=\"12115\"><div class=\"housing-location\"><h4 class=\"housing-location-name\">Berean<\/h4><p>1445 Exmouth Street<\/p><p>Sarnia, Ontario, N7S 6J5<\/p><p><a href=\"#\" class=\"map-popup-link\" data-mfp-src=\"https:\/\/maps.google.com\/maps?q=1445+Exmouth+Street%2C+Sarnia%2C+Ontario%2C+N7S+6J5&#038;output=embed\">View on Map<\/a><\/p><div class=\"housing-images\"><\/div><\/div><div class=\"housing-details\"><h4>Building Type<\/h4><p>Townhouse, Apartment<\/p><h4>Unit Sizes<\/h4><p>1 Bedroom<br>2 Bedroom<br>3 Bedroom<br>4 Bedroom<\/p><h4>Program<\/h4><p>Non Profit Housing Provider<\/p><\/div><div class=\"housing-notes\"><h4>Amenities and Notes<\/h4><div class=\"amenities-container\"><p><i class=\"fa-solid fa-paw amenity-icon\"><\/i> Pet Restrictions *<\/p><p><i class=\"bx bxs-washer amenity-icon\"><\/i> Laundry Facilities <\/p><p><i class=\"fa-classic fa-solid fa-check amenity-icon\"><\/i> Utilities Extra (Townhouse) <\/p><p><i class=\"fa-classic fa-solid fa-check amenity-icon\"><\/i> Elevator (Apartments) <\/p><\/div><p class='pet-policy'>* 1 pet policy (max 20 lbs\/20\", spayed\/ neutered, up-to-date vaccines)<\/p><\/br><h4><i class='fa-solid fa-wheelchair'><\/i> Wheelchair Modified Units available:<\/strong><\/h4><p>1 Bedroom<\/p><p>2 Bedroom<\/p><\/div><input autocomplete=\"off\"  type=\"checkbox\" name=\"housing_selection_name[]\" value=\"Berean\" class=\"housing-selection-checkbox\" style=\"display:none;\"><\/div><div class=\"housing-option\" data-id=\"12117\"><div class=\"housing-location\"><h4 class=\"housing-location-name\">Nottingham Towers<\/h4><p>56 Finch Drive<\/p><p>Sarnia, Ontario, N7S 5K8<\/p><p><a href=\"#\" class=\"map-popup-link\" data-mfp-src=\"https:\/\/maps.google.com\/maps?q=56+Finch+Drive%2C+Sarnia%2C+Ontario%2C+N7S+5K8&#038;output=embed\">View on Map<\/a><\/p><div class=\"housing-images\"><\/div><\/div><div class=\"housing-details\"><h4>Building Type<\/h4><p>Apartment<\/p><h4>Unit Sizes<\/h4><p>1 Bedroom<br>2 Bedroom<\/p><h4>Program<\/h4><p>Rent Supplement Units<\/p><\/div><div class=\"housing-notes\"><h4>Amenities and Notes<\/h4><div class=\"amenities-container\"><p><i class=\"fa-solid fa-check amenity-icon\"><\/i> Heat Extra <\/p><p><i class=\"fa-solid fa-check amenity-icon\"><\/i> Hydro Extra <\/p><p><i class=\"fa-solid fa-elevator amenity-icon\"><\/i> Elevator <\/p><p><i class=\"bx bxs-washer amenity-icon\"><\/i> Laundry Facilities <\/p><\/div><\/div><input autocomplete=\"off\"  type=\"checkbox\" name=\"housing_selection_name[]\" value=\"Nottingham Towers\" class=\"housing-selection-checkbox\" style=\"display:none;\"><\/div><div class=\"housing-option\" data-id=\"12139\"><div class=\"housing-location\"><h4 class=\"housing-location-name\">Kathleen Adult<\/h4><p> Kathleen Avenue<\/p><p>Sarnia, Ontario, <\/p><p><a href=\"#\" class=\"map-popup-link\" data-mfp-src=\"https:\/\/maps.google.com\/maps?q=+Kathleen+Avenue%2C+Sarnia%2C+Ontario%2C+&#038;output=embed\">View on Map<\/a><\/p><div class=\"housing-images\"><\/div><\/div><div class=\"housing-details\"><h4>Building Type<\/h4><p>Apartment<\/p><h4>Unit Sizes<\/h4><p>1 Bedroom<\/p><h4>Program<\/h4><p>County of Lambton Owned Unit<\/p><\/div><div class=\"housing-notes\"><h4>Amenities and Notes<\/h4><div class=\"amenities-container\"><p><i class=\"bx bxs-washer amenity-icon\"><\/i> Laundry Facilities <\/p><\/div><\/div><input autocomplete=\"off\"  type=\"checkbox\" name=\"housing_selection_name[]\" value=\"Kathleen Adult\" class=\"housing-selection-checkbox\" style=\"display:none;\"><\/div><div class=\"housing-option\" data-id=\"12136\"><div class=\"housing-location\"><h4 class=\"housing-location-name\">Kathleen Semi<\/h4><p> Kathleen Avenue<\/p><p>Sarnia, Ontario, <\/p><p><a href=\"#\" class=\"map-popup-link\" data-mfp-src=\"https:\/\/maps.google.com\/maps?q=+Kathleen+Avenue%2C+Sarnia%2C+Ontario%2C+&#038;output=embed\">View on Map<\/a><\/p><div class=\"housing-images\"><\/div><\/div><div class=\"housing-details\"><h4>Building Type<\/h4><p>Semi-Detached Home<\/p><h4>Unit Sizes<\/h4><p>2 Bedroom<br>3 Bedroom<br>4 Bedroom<\/p><h4>Program<\/h4><p>County of Lambton Owned Unit<\/p><\/div><div class=\"housing-notes\"><h4>Amenities and Notes<\/h4><div class=\"amenities-container\"><p><i class=\"fa-solid fa-check amenity-icon\"><\/i> Hydro Extra <\/p><p><i class=\"fa-solid fa-check amenity-icon\"><\/i> Appliances not Included <\/p><p><i class=\"fa-classic fa-solid fa-check amenity-icon\"><\/i> Must Cut Grass <\/p><p><i class=\"fa-classic fa-solid fa-check amenity-icon\"><\/i> Private Driveway <\/p><p><i class=\"fa-classic fa-solid fa-jug-detergent amenity-icon\"><\/i> Laundry Hookups <\/p><\/div><\/div><input autocomplete=\"off\"  type=\"checkbox\" name=\"housing_selection_name[]\" value=\"Kathleen Semi\" class=\"housing-selection-checkbox\" style=\"display:none;\"><\/div><div class=\"housing-option\" data-id=\"12134\"><div class=\"housing-location\"><h4 class=\"housing-location-name\">Kathleen Family<\/h4><p> Kathleen Avenue<\/p><p>Sarnia, Ontario, <\/p><p><a href=\"#\" class=\"map-popup-link\" data-mfp-src=\"https:\/\/maps.google.com\/maps?q=+Kathleen+Avenue%2C+Sarnia%2C+Ontario%2C+&#038;output=embed\">View on Map<\/a><\/p><div class=\"housing-images\"><\/div><\/div><div class=\"housing-details\"><h4>Building Type<\/h4><p>Townhouse<\/p><h4>Unit Sizes<\/h4><p>2 Bedroom<br>3 Bedroom<br>4 Bedroom<\/p><h4>Program<\/h4><p>County of Lambton Owned Unit<\/p><\/div><div class=\"housing-notes\"><h4>Amenities and Notes<\/h4><div class=\"amenities-container\"><p><i class=\"fa-solid fa-check amenity-icon\"><\/i> Utilities Included <\/p><p><i class=\"fa-solid fa-check amenity-icon\"><\/i> Appliances not Included <\/p><p><i class=\"fa-classic fa-solid fa-jug-detergent amenity-icon\"><\/i> Laundry Hookups <\/p><\/div><\/br><h4><i class='fa-solid fa-wheelchair'><\/i> Wheelchair Modified Units available:<\/strong><\/h4><p>2 Bedroom<\/p><\/div><input autocomplete=\"off\"  type=\"checkbox\" name=\"housing_selection_name[]\" value=\"Kathleen Family\" class=\"housing-selection-checkbox\" style=\"display:none;\"><\/div><div class=\"housing-option\" data-id=\"12058\"><div class=\"housing-location\"><h4 class=\"housing-location-name\">Cardiff Acres<\/h4><p> Scattered Units<\/p><p>Sarnia, Ontario, <\/p><p><a href=\"#\" class=\"map-popup-link\" data-mfp-src=\"https:\/\/maps.google.com\/maps?q=+Lanark+Crescent%2C+Sarnia%2C+Ontario%2C+&#038;output=embed\">View on Map<\/a><\/p><div class=\"housing-images\"><\/div><\/div><div class=\"housing-details\"><h4>Building Type<\/h4><p>Townhouse, Detached Home, Semi-Detached Home<\/p><h4>Unit Sizes<\/h4><p>3 Bedroom<br>4 Bedroom<\/p><h4>Program<\/h4><p>County of Lambton Owned Unit<\/p><\/div><div class=\"housing-notes\"><h4>Amenities and Notes<\/h4><div class=\"amenities-container\"><p><i class=\"fa-solid fa-check amenity-icon\"><\/i> Hydro Extra <\/p><p><i class=\"fa-solid fa-check amenity-icon\"><\/i> Appliances not Included <\/p><p><i class=\"fa-classic fa-solid fa-jug-detergent amenity-icon\"><\/i> Laundry Hookups <\/p><\/div><\/br><h4><i class='fa-solid fa-wheelchair'><\/i> Wheelchair Modified Units available:<\/strong><\/h4><p>3 Bedroom<\/p><\/div><input autocomplete=\"off\"  type=\"checkbox\" name=\"housing_selection_name[]\" value=\"Cardiff Acres\" class=\"housing-selection-checkbox\" style=\"display:none;\"><\/div><div class=\"housing-option\" data-id=\"12142\"><div class=\"housing-location\"><h4 class=\"housing-location-name\">Bethel Manor<\/h4><p>1575 London Line<\/p><p>Sarnia, Ontario, N7T 7H2<\/p><p><a href=\"#\" class=\"map-popup-link\" data-mfp-src=\"https:\/\/maps.google.com\/maps?q=1575+London+Line%2C+Sarnia%2C+Ontario%2C+N7T+7H2&#038;output=embed\">View on Map<\/a><\/p><div class=\"housing-images\"><\/div><\/div><div class=\"housing-details\"><h4>Building Type<\/h4><p>Seniors Only Apartment Building<\/p><h4>Unit Sizes<\/h4><p>1 Bedroom<\/p><h4>Program<\/h4><p>Non Profit Housing Provider<\/p><\/div><div class=\"housing-notes\"><h4>Amenities and Notes<\/h4><div class=\"amenities-container\"><p><i class=\"fa-solid fa-ban-smoking amenity-icon\"><\/i> Smoke-Free Property <\/p><p><i class=\"fa-solid fa-paw amenity-icon\"><\/i> Pet Restrictions *<\/p><p><i class=\"fa-solid fa-elevator amenity-icon\"><\/i> Elevator <\/p><p><i class=\"fa-classic fa-solid fa-check amenity-icon\"><\/i> 65 Years Old + <\/p><\/div><p class='pet-policy'>* 1 pet policy (max 20 lbs\/20\", spayed\/ neutered, up-to-date vaccines)<\/p><\/br><h4><i class='fa-solid fa-wheelchair'><\/i> Wheelchair Modified Units available:<\/strong><\/h4><p>1 Bedroom<\/p><p>2 Bedroom<\/p><\/div><input autocomplete=\"off\"  type=\"checkbox\" name=\"housing_selection_name[]\" value=\"Bethel Manor\" class=\"housing-selection-checkbox\" style=\"display:none;\"><\/div><div class=\"housing-option\" data-id=\"12145\"><div class=\"housing-location\"><h4 class=\"housing-location-name\">Maxwell Park Place<\/h4><p>993 Maxwell Street<\/p><p>Sarnia, Ontario, N7S 0C5<\/p><p><a href=\"#\" class=\"map-popup-link\" data-mfp-src=\"https:\/\/maps.google.com\/maps?q=993+Maxwell+Street%2C+Sarnia%2C+Ontario%2C+N7S+0C5&#038;output=embed\">View on Map<\/a><\/p><div class=\"housing-images\"><\/div><\/div><div class=\"housing-details\"><h4>Building Type<\/h4><p>Seniors Only Apartment Building<\/p><h4>Unit Sizes<\/h4><p>1 Bedroom<\/p><h4>Program<\/h4><p>County of Lambton Owned Unit<br>Supported<\/p><\/div><div class=\"housing-notes\"><h4>Amenities and Notes<\/h4><div class=\"amenities-container\"><p><i class=\"fa-solid fa-ban-smoking amenity-icon\"><\/i> Smoke-Free Property <\/p><p><i class=\"fa-solid fa-elevator amenity-icon\"><\/i> Elevator <\/p><p><i class=\"bx bxs-washer amenity-icon\"><\/i> Laundry Facilities <\/p><p><i class=\"fa-classic fa-solid fa-check amenity-icon\"><\/i> 65 Years Old + <\/p><\/div><\/br><h4><i class='fa-solid fa-wheelchair'><\/i> Wheelchair Modified Units available:<\/strong><\/h4><p>1 Bedroom<\/p><p>2 Bedroom<\/p><\/div><input autocomplete=\"off\"  type=\"checkbox\" name=\"housing_selection_name[]\" value=\"Maxwell Park Place\" class=\"housing-selection-checkbox\" style=\"display:none;\"><\/div><div class=\"housing-option\" data-id=\"12151\"><div class=\"housing-location\"><h4 class=\"housing-location-name\">St. Clair Gardens<\/h4><p>150 Queen Street<\/p><p>Sarnia, Ontario, N7T 2R1<\/p><p><a href=\"#\" class=\"map-popup-link\" data-mfp-src=\"https:\/\/maps.google.com\/maps?q=150+Queen+Street%2C+Sarnia%2C+Ontario%2C+N7T+2R1&#038;output=embed\">View on Map<\/a><\/p><div class=\"housing-images\"><\/div><\/div><div class=\"housing-details\"><h4>Building Type<\/h4><p>Apartment<\/p><h4>Unit Sizes<\/h4><p>1 Bedroom<\/p><h4>Program<\/h4><p>County of Lambton Owned Unit<\/p><\/div><div class=\"housing-notes\"><h4>Amenities and Notes<\/h4><div class=\"amenities-container\"><p><i class=\"fa-solid fa-elevator amenity-icon\"><\/i> Elevator <\/p><p><i class=\"bx bxs-washer amenity-icon\"><\/i> Laundry Facilities <\/p><\/div><\/div><input autocomplete=\"off\"  type=\"checkbox\" name=\"housing_selection_name[]\" value=\"St. Clair Gardens\" class=\"housing-selection-checkbox\" style=\"display:none;\"><\/div><div class=\"housing-option\" data-id=\"12147\"><div class=\"housing-location\"><h4 class=\"housing-location-name\">Guernsey Gardens<\/h4><p>124 Queen Street<\/p><p>Sarnia, Ontario, N7T 2R1<\/p><p><a href=\"#\" class=\"map-popup-link\" data-mfp-src=\"https:\/\/maps.google.com\/maps?q=124+Queen+Street%2C+Sarnia%2C+Ontario%2C+N7T+2R1&#038;output=embed\">View on Map<\/a><\/p><div class=\"housing-images\"><\/div><\/div><div class=\"housing-details\"><h4>Building Type<\/h4><p>Apartment<\/p><h4>Unit Sizes<\/h4><p>Bachelor<br>1 Bedroom<\/p><h4>Program<\/h4><p>County of Lambton Owned Unit<br>Supported<\/p><\/div><div class=\"housing-notes\"><h4>Amenities and Notes<\/h4><div class=\"amenities-container\"><p><i class=\"fa-solid fa-elevator amenity-icon\"><\/i> Elevator <\/p><p><i class=\"bx bxs-washer amenity-icon\"><\/i> Laundry Facilities <\/p><\/div><\/br><h4><i class='fa-solid fa-wheelchair'><\/i> Wheelchair Modified Units available:<\/strong><\/h4><p>1 Bedroom<\/p><\/div><input autocomplete=\"off\"  type=\"checkbox\" name=\"housing_selection_name[]\" value=\"Guernsey Gardens\" class=\"housing-selection-checkbox\" style=\"display:none;\"><\/div><div class=\"housing-option\" data-id=\"12187\"><div class=\"housing-location\"><h4 class=\"housing-location-name\">Roger St.<\/h4><p> Roger Street<\/p><p>Sarnia, Ontario, <\/p><p><a href=\"#\" class=\"map-popup-link\" data-mfp-src=\"https:\/\/maps.google.com\/maps?q=+Roger+Street%2C+Sarnia%2C+Ontario%2C+&#038;output=embed\">View on Map<\/a><\/p><div class=\"housing-images\"><\/div><\/div><div class=\"housing-details\"><h4>Building Type<\/h4><p>Townhouse, Semi-Detached Home<\/p><h4>Unit Sizes<\/h4><p>2 Bedroom<br>3 Bedroom<br>4 Bedroom<\/p><h4>Program<\/h4><p>County of Lambton Owned Unit<\/p><\/div><div class=\"housing-notes\"><h4>Amenities and Notes<\/h4><div class=\"amenities-container\"><p><i class=\"fa-solid fa-check amenity-icon\"><\/i> Appliances not Included <\/p><p><i class=\"fa-classic fa-solid fa-check amenity-icon\"><\/i> Must Cut Grass <\/p><p><i class=\"fa-classic fa-solid fa-jug-detergent amenity-icon\"><\/i> Laundry Hookups <\/p><\/div><\/div><input autocomplete=\"off\"  type=\"checkbox\" name=\"housing_selection_name[]\" value=\"Roger St.\" class=\"housing-selection-checkbox\" style=\"display:none;\"><\/div><div class=\"housing-option\" data-id=\"12192\"><div class=\"housing-location\"><h4 class=\"housing-location-name\">Ozanam Manor<\/h4><p>911 Wellington Street<\/p><p>Sarnia, Ontario, N7T 1J6<\/p><p><a href=\"#\" class=\"map-popup-link\" data-mfp-src=\"https:\/\/maps.google.com\/maps?q=911+Wellington+Street%2C+Sarnia%2C+Ontario%2C+N7T+1J6&#038;output=embed\">View on Map<\/a><\/p><div class=\"housing-images\"><\/div><\/div><div class=\"housing-details\"><h4>Building Type<\/h4><p>Apartment<\/p><h4>Unit Sizes<\/h4><p>1 Bedroom<br>2 Bedroom<br>3 Bedroom<\/p><h4>Program<\/h4><p>Non Profit Housing Provider<br>Supported<\/p><\/div><div class=\"housing-notes\"><h4>Amenities and Notes<\/h4><div class=\"amenities-container\"><p><i class=\"fa-solid fa-elevator amenity-icon\"><\/i> Elevator <\/p><p><i class=\"bx bxs-washer amenity-icon\"><\/i> Laundry Facilities <\/p><\/div><\/br><h4><i class='fa-solid fa-wheelchair'><\/i> Wheelchair Modified Units available:<\/strong><\/h4><p>1 Bedroom<\/p><p>2 Bedroom<\/p><\/div><input autocomplete=\"off\"  type=\"checkbox\" name=\"housing_selection_name[]\" value=\"Ozanam Manor\" class=\"housing-selection-checkbox\" style=\"display:none;\"><\/div><div class=\"housing-option\" data-id=\"12195\"><div class=\"housing-location\"><h4 class=\"housing-location-name\">Northgate Manor<\/h4><p>345 Willowdale Crescent<\/p><p>Sarnia, Ontario, N7T 7T5<\/p><p><a href=\"#\" class=\"map-popup-link\" data-mfp-src=\"https:\/\/maps.google.com\/maps?q=345+Willowdale+Crescent%2C+Sarnia%2C+Ontario%2C+N7T+7T5&#038;output=embed\">View on Map<\/a><\/p><div class=\"housing-images\"><\/div><\/div><div class=\"housing-details\"><h4>Building Type<\/h4><p>Apartment<\/p><h4>Unit Sizes<\/h4><p>1 Bedroom<\/p><h4>Program<\/h4><p>Rent Supplement Units<\/p><\/div><div class=\"housing-notes\"><h4>Amenities and Notes<\/h4><div class=\"amenities-container\"><p><i class=\"fa-solid fa-elevator amenity-icon\"><\/i> Elevator <\/p><p><i class=\"bx bxs-washer amenity-icon\"><\/i> Laundry Facilities <\/p><\/div><\/div><input autocomplete=\"off\"  type=\"checkbox\" name=\"housing_selection_name[]\" value=\"Northgate Manor\" class=\"housing-selection-checkbox\" style=\"display:none;\"><\/div><\/div><\/div><div class=\"accordion-section\"><h3 class=\"gsection_title accordion-header\" id=\"accordion-1\"><i class=\"fa-solid fa-caret-down\" style=\"margin-right: 20px;\"><\/i>Alvinston<\/h3><div class=\"accordion-content\" data-accordion=\"accordion-1\" style=\"display:none;\"><div class=\"housing-option\" data-id=\"12197\"><div class=\"housing-location\"><h4 class=\"housing-location-name\">Alvinston Apartments<\/h4><p>3247 River Street<\/p><p>Alvinston, Ontario, N0N 1A0<\/p><p><a href=\"#\" class=\"map-popup-link\" data-mfp-src=\"https:\/\/maps.google.com\/maps?q=3247+River+Street%2C+Alvinston%2C+Ontario%2C+N0N+1A0&#038;output=embed\">View on Map<\/a><\/p><div class=\"housing-images\"><\/div><\/div><div class=\"housing-details\"><h4>Building Type<\/h4><p>Apartment<\/p><h4>Unit Sizes<\/h4><p>1 Bedroom<\/p><h4>Program<\/h4><p>County of Lambton Owned Unit<\/p><\/div><div class=\"housing-notes\"><h4>Amenities and Notes<\/h4><div class=\"amenities-container\"><p><i class=\"fa-solid fa-check amenity-icon\"><\/i> LULA Lift <i class=\"fa fa-question-circle\" data-tooltip=\"Limited Use Limited Application Elevator: A small, energy-efficient elevator designed for low-rise buildings where accessibility is required but usage is limited.\"><\/i><\/p><p><i class=\"bx bxs-washer amenity-icon\"><\/i> Laundry Facilities <\/p><\/div><\/div><input autocomplete=\"off\"  type=\"checkbox\" name=\"housing_selection_name[]\" value=\"Alvinston Apartments\" class=\"housing-selection-checkbox\" style=\"display:none;\"><\/div><\/div><\/div><div class=\"accordion-section\"><h3 class=\"gsection_title accordion-header\" id=\"accordion-2\"><i class=\"fa-solid fa-caret-down\" style=\"margin-right: 20px;\"><\/i>Arkona<\/h3><div class=\"accordion-content\" data-accordion=\"accordion-2\" style=\"display:none;\"><div class=\"housing-option\" data-id=\"12210\"><div class=\"housing-location\"><h4 class=\"housing-location-name\">Orchardview Apartments<\/h4><p>7294 Arkona Road<\/p><p>Arkona, Ontario, N0M 1B0<\/p><p><a href=\"#\" class=\"map-popup-link\" data-mfp-src=\"https:\/\/maps.google.com\/maps?q=7294+Arkona+Road%2C+Arkona%2C+Ontario%2C+N0M+1B0&#038;output=embed\">View on Map<\/a><\/p><div class=\"housing-images\"><\/div><\/div><div class=\"housing-details\"><h4>Building Type<\/h4><p>Seniors Only Apartment Building<\/p><h4>Unit Sizes<\/h4><p>1 Bedroom<br>2 Bedroom<\/p><h4>Program<\/h4><p>Non Profit Housing Provider<\/p><\/div><div class=\"housing-notes\"><h4>Amenities and Notes<\/h4><div class=\"amenities-container\"><p><i class=\"fa-solid fa-ban-smoking amenity-icon\"><\/i> Smoke-Free Property <\/p><p><i class=\"fa-solid fa-paw amenity-icon\"><\/i> Pet Restrictions *<\/p><p><i class=\"bx bxs-washer amenity-icon\"><\/i> Laundry Facilities <\/p><p><i class=\"fa-classic fa-solid fa-check amenity-icon\"><\/i> Private patios <\/p><p><i class=\"fa-classic fa-solid fa-check amenity-icon\"><\/i> 65 Years Old + <\/p><\/div><p class='pet-policy'>* 1 pet policy (max 20 lbs\/20\", spayed\/ neutered, up-to-date vaccines)<\/p><\/br><h4><i class='fa-solid fa-wheelchair'><\/i> Wheelchair Modified Units available:<\/strong><\/h4><p>1 Bedroom<\/p><p>2 Bedroom<\/p><\/div><input autocomplete=\"off\"  type=\"checkbox\" name=\"housing_selection_name[]\" value=\"Orchardview Apartments\" class=\"housing-selection-checkbox\" style=\"display:none;\"><\/div><\/div><\/div><div class=\"accordion-section\"><h3 class=\"gsection_title accordion-header\" id=\"accordion-3\"><i class=\"fa-solid fa-caret-down\" style=\"margin-right: 20px;\"><\/i>Brigden<\/h3><div class=\"accordion-content\" data-accordion=\"accordion-3\" style=\"display:none;\"><div class=\"housing-option\" data-id=\"12045\"><div class=\"housing-location\"><h4 class=\"housing-location-name\">Brigden Park Place<\/h4><p>2444 Jane Street<\/p><p>Brigden, Ontario, N0N 1B0<\/p><p><a href=\"#\" class=\"map-popup-link\" data-mfp-src=\"https:\/\/maps.google.com\/maps?q=2444+Jane+Street%2C+Brigden%2C+Ontario%2C+N0N+1B0&#038;output=embed\">View on Map<\/a><\/p><div class=\"housing-images\"><\/div><\/div><div class=\"housing-details\"><h4>Building Type<\/h4><p>Seniors Only Apartment Building<\/p><h4>Unit Sizes<\/h4><p>1 Bedroom<\/p><h4>Program<\/h4><p>Rent Supplement Units<br>Non Profit Housing Provider<\/p><\/div><div class=\"housing-notes\"><h4>Amenities and Notes<\/h4><div class=\"amenities-container\"><p><i class=\"fa-solid fa-elevator amenity-icon\"><\/i> Elevator <\/p><p><i class=\"bx bxs-washer amenity-icon\"><\/i> Laundry Facilities <\/p><p><i class=\"fa-classic fa-solid fa-check amenity-icon\"><\/i> 65 Years Old + <\/p><\/div><\/div><input autocomplete=\"off\"  type=\"checkbox\" name=\"housing_selection_name[]\" value=\"Brigden Park Place\" class=\"housing-selection-checkbox\" style=\"display:none;\"><\/div><\/div><\/div><div class=\"accordion-section\"><h3 class=\"gsection_title accordion-header\" id=\"accordion-4\"><i class=\"fa-solid fa-caret-down\" style=\"margin-right: 20px;\"><\/i>Corunna<\/h3><div class=\"accordion-content\" data-accordion=\"accordion-4\" style=\"display:none;\"><div class=\"housing-option\" data-id=\"12212\"><div class=\"housing-location\"><h4 class=\"housing-location-name\">Moore Lodge<\/h4><p>203 Fane Street<\/p><p>Corunna, Ontario, N0N 1G0<\/p><p><a href=\"#\" class=\"map-popup-link\" data-mfp-src=\"https:\/\/maps.google.com\/maps?q=203+Fane+Street%2C+Corunna%2C+Ontario%2C+N0N+1G0&#038;output=embed\">View on Map<\/a><\/p><div class=\"housing-images\"><\/div><\/div><div class=\"housing-details\"><h4>Building Type<\/h4><p>Apartment<\/p><h4>Unit Sizes<\/h4><p>1 Bedroom<\/p><h4>Program<\/h4><p>County of Lambton Owned Unit<\/p><\/div><div class=\"housing-notes\"><h4>Amenities and Notes<\/h4><div class=\"amenities-container\"><p><i class=\"fa-solid fa-check amenity-icon\"><\/i> LULA Lift <i class=\"fa fa-question-circle\" data-tooltip=\"Limited Use Limited Application Elevator: A small, energy-efficient elevator designed for low-rise buildings where accessibility is required but usage is limited.\"><\/i><\/p><p><i class=\"bx bxs-washer amenity-icon\"><\/i> Laundry Facilities <\/p><\/div><\/div><input autocomplete=\"off\"  type=\"checkbox\" name=\"housing_selection_name[]\" value=\"Moore Lodge\" class=\"housing-selection-checkbox\" style=\"display:none;\"><\/div><\/div><\/div><div class=\"accordion-section\"><h3 class=\"gsection_title accordion-header\" id=\"accordion-5\"><i class=\"fa-solid fa-caret-down\" style=\"margin-right: 20px;\"><\/i>Forest<\/h3><div class=\"accordion-content\" data-accordion=\"accordion-5\" style=\"display:none;\"><div class=\"housing-option\" data-id=\"12221\"><div class=\"housing-location\"><h4 class=\"housing-location-name\">Forestview Villa<\/h4><p>41 Morris Street<\/p><p>Forest, Ontario, N0N 1J0<\/p><p><a href=\"#\" class=\"map-popup-link\" data-mfp-src=\"https:\/\/maps.google.com\/maps?q=41+Morris+Street%2C+Forest%2C+Ontario%2C+N0N+1J0&#038;output=embed\">View on Map<\/a><\/p><div class=\"housing-images\"><\/div><\/div><div class=\"housing-details\"><h4>Building Type<\/h4><p>Seniors Only Apartment Building<\/p><h4>Unit Sizes<\/h4><p>1 Bedroom<\/p><h4>Program<\/h4><p>Rent Supplement Units<\/p><\/div><div class=\"housing-notes\"><h4>Amenities and Notes<\/h4><div class=\"amenities-container\"><p><i class=\"fa-solid fa-ban-smoking amenity-icon\"><\/i> Smoke-Free Property <\/p><p><i class=\"fa-solid fa-elevator amenity-icon\"><\/i> Elevator <\/p><p><i class=\"bx bxs-washer amenity-icon\"><\/i> Laundry Facilities <\/p><p><i class=\"fa-classic fa-solid fa-check amenity-icon\"><\/i> 65 Years Old + <\/p><\/div><\/div><input autocomplete=\"off\"  type=\"checkbox\" name=\"housing_selection_name[]\" value=\"Forestview Villa\" class=\"housing-selection-checkbox\" style=\"display:none;\"><\/div><div class=\"housing-option\" data-id=\"12223\"><div class=\"housing-location\"><h4 class=\"housing-location-name\">Sunset Lodge<\/h4><p>57 Union Street<\/p><p>Forest, Ontario, N0N 1J0<\/p><p><a href=\"#\" class=\"map-popup-link\" data-mfp-src=\"https:\/\/maps.google.com\/maps?q=57+Union+Street%2C+Forest%2C+Ontario%2C+N0N+1J0&#038;output=embed\">View on Map<\/a><\/p><div class=\"housing-images\"><\/div><\/div><div class=\"housing-details\"><h4>Building Type<\/h4><p>Apartment<\/p><h4>Unit Sizes<\/h4><p>1 Bedroom<\/p><h4>Program<\/h4><p>County of Lambton Owned Unit<\/p><\/div><div class=\"housing-notes\"><h4>Amenities and Notes<\/h4><div class=\"amenities-container\"><p><i class=\"fa-solid fa-check amenity-icon\"><\/i> LULA Lift <i class=\"fa fa-question-circle\" data-tooltip=\"Limited Use Limited Application Elevator: A small, energy-efficient elevator designed for low-rise buildings where accessibility is required but usage is limited.\"><\/i><\/p><p><i class=\"bx bxs-washer amenity-icon\"><\/i> Laundry Facilities <\/p><\/div><\/br><h4><i class='fa-solid fa-wheelchair'><\/i> Wheelchair Modified Units available:<\/strong><\/h4><p>1 Bedroom<\/p><\/div><input autocomplete=\"off\"  type=\"checkbox\" name=\"housing_selection_name[]\" value=\"Sunset Lodge\" class=\"housing-selection-checkbox\" style=\"display:none;\"><\/div><\/div><\/div><div class=\"accordion-section\"><h3 class=\"gsection_title accordion-header\" id=\"accordion-6\"><i class=\"fa-solid fa-caret-down\" style=\"margin-right: 20px;\"><\/i>Petrolia<\/h3><div class=\"accordion-content\" data-accordion=\"accordion-6\" style=\"display:none;\"><div class=\"housing-option\" data-id=\"12231\"><div class=\"housing-location\"><h4 class=\"housing-location-name\">Central Apartments<\/h4><p>436 Greenfield Street<\/p><p>Petrolia, Ontario, N0N 1R0<\/p><p><a href=\"#\" class=\"map-popup-link\" data-mfp-src=\"https:\/\/maps.google.com\/maps?q=436+Greenfield+Street%2C+Petrolia%2C+Ontario%2C+N0N+1R0&#038;output=embed\">View on Map<\/a><\/p><div class=\"housing-images\"><\/div><\/div><div class=\"housing-details\"><h4>Building Type<\/h4><p>Apartment<\/p><h4>Unit Sizes<\/h4><p>1 Bedroom<\/p><h4>Program<\/h4><p>County of Lambton Owned Unit<\/p><\/div><div class=\"housing-notes\"><h4>Amenities and Notes<\/h4><div class=\"amenities-container\"><p><i class=\"fa-solid fa-check amenity-icon\"><\/i> LULA Lift <i class=\"fa fa-question-circle\" data-tooltip=\"Limited Use Limited Application Elevator: A small, energy-efficient elevator designed for low-rise buildings where accessibility is required but usage is limited.\"><\/i><\/p><p><i class=\"bx bxs-washer amenity-icon\"><\/i> Laundry Facilities <\/p><\/div><\/div><input autocomplete=\"off\"  type=\"checkbox\" name=\"housing_selection_name[]\" value=\"Central Apartments\" class=\"housing-selection-checkbox\" style=\"display:none;\"><\/div><div class=\"housing-option\" data-id=\"12233\"><div class=\"housing-location\"><h4 class=\"housing-location-name\">Kings Court<\/h4><p>412 King Street<\/p><p>Petrolia, Ontario, N0N 1R0<\/p><p><a href=\"#\" class=\"map-popup-link\" data-mfp-src=\"https:\/\/maps.google.com\/maps?q=412+King+Street%2C+Petrolia%2C+Ontario%2C+N0N+1R0&#038;output=embed\">View on Map<\/a><\/p><div class=\"housing-images\"><\/div><\/div><div class=\"housing-details\"><h4>Building Type<\/h4><p>Seniors Only Apartment Building<\/p><h4>Unit Sizes<\/h4><p>1 Bedroom<\/p><h4>Program<\/h4><p>County of Lambton Owned Unit<\/p><\/div><div class=\"housing-notes\"><h4>Amenities and Notes<\/h4><div class=\"amenities-container\"><p><i class=\"bx bxs-washer amenity-icon\"><\/i> Laundry Facilities <\/p><p><i class=\"fa-classic fa-solid fa-check amenity-icon\"><\/i> 65 Years Old + <\/p><\/div><\/div><input autocomplete=\"off\"  type=\"checkbox\" name=\"housing_selection_name[]\" value=\"Kings Court\" class=\"housing-selection-checkbox\" style=\"display:none;\"><\/div><div class=\"housing-option\" data-id=\"12255\"><div class=\"housing-location\"><h4 class=\"housing-location-name\">Mid Valley<\/h4><p>4335 Petrolia Line<\/p><p>Petrolia, Ontario, N0N 1R0<\/p><p><a href=\"#\" class=\"map-popup-link\" data-mfp-src=\"https:\/\/maps.google.com\/maps?q=4335+Petrolia+Line%2C+Petrolia%2C+Ontario%2C+N0N+1R0&#038;output=embed\">View on Map<\/a><\/p><div class=\"housing-images\"><\/div><\/div><div class=\"housing-details\"><h4>Building Type<\/h4><p>Seniors Only Apartment Building<\/p><h4>Unit Sizes<\/h4><p>1 Bedroom<\/p><h4>Program<\/h4><p>Rent Supplement Units<br>Non Profit Housing Provider<\/p><\/div><div class=\"housing-notes\"><h4>Amenities and Notes<\/h4><div class=\"amenities-container\"><p><i class=\"fa-solid fa-ban-smoking amenity-icon\"><\/i> Smoke-Free Property <\/p><p><i class=\"fa-solid fa-elevator amenity-icon\"><\/i> Elevator <\/p><p><i class=\"bx bxs-washer amenity-icon\"><\/i> Laundry Facilities <\/p><p><i class=\"fa-classic fa-solid fa-check amenity-icon\"><\/i> 60 Years Old + <\/p><\/div><\/div><input autocomplete=\"off\"  type=\"checkbox\" name=\"housing_selection_name[]\" value=\"Mid Valley\" class=\"housing-selection-checkbox\" style=\"display:none;\"><\/div><div class=\"housing-option\" data-id=\"12253\"><div class=\"housing-location\"><h4 class=\"housing-location-name\">Lambtonian<\/h4><p>3932 Petrolia Line<\/p><p>Petrolia, Ontario, N0N 1R0<\/p><p><a href=\"#\" class=\"map-popup-link\" data-mfp-src=\"https:\/\/maps.google.com\/maps?q=3932+Petrolia+Line%2C+Petrolia%2C+Ontario%2C+N0N+1R0&#038;output=embed\">View on Map<\/a><\/p><div class=\"housing-images\"><\/div><\/div><div class=\"housing-details\"><h4>Building Type<\/h4><p>Seniors Only Apartment Building<\/p><h4>Unit Sizes<\/h4><p>1 Bedroom<\/p><h4>Program<\/h4><p>Rent Supplement Units<\/p><\/div><div class=\"housing-notes\"><h4>Amenities and Notes<\/h4><div class=\"amenities-container\"><p><i class=\"fa-solid fa-ban-smoking amenity-icon\"><\/i> Smoke-Free Property <\/p><p><i class=\"fa-solid fa-elevator amenity-icon\"><\/i> Elevator <\/p><p><i class=\"fa-classic fa-solid fa-check amenity-icon\"><\/i> 65 Years Old + <\/p><\/div><\/div><input autocomplete=\"off\"  type=\"checkbox\" name=\"housing_selection_name[]\" value=\"Lambtonian\" class=\"housing-selection-checkbox\" style=\"display:none;\"><\/div><\/div><\/div><div class=\"accordion-section\"><h3 class=\"gsection_title accordion-header\" id=\"accordion-7\"><i class=\"fa-solid fa-caret-down\" style=\"margin-right: 20px;\"><\/i>Point Edward<\/h3><div class=\"accordion-content\" data-accordion=\"accordion-7\" style=\"display:none;\"><div class=\"housing-option\" data-id=\"12257\"><div class=\"housing-location\"><h4 class=\"housing-location-name\">Huronview Apartments<\/h4><p>11 Fort Street<\/p><p>Point Edward, Ontario, N7V 1M1<\/p><p><a href=\"#\" class=\"map-popup-link\" data-mfp-src=\"https:\/\/maps.google.com\/maps?q=11+Fort+Street%2C+Point+Edward%2C+Ontario%2C+N7V+1M1&#038;output=embed\">View on Map<\/a><\/p><div class=\"housing-images\"><\/div><\/div><div class=\"housing-details\"><h4>Building Type<\/h4><p>Apartment<\/p><h4>Unit Sizes<\/h4><p>1 Bedroom<\/p><h4>Program<\/h4><p>County of Lambton Owned Unit<\/p><\/div><div class=\"housing-notes\"><h4>Amenities and Notes<\/h4><div class=\"amenities-container\"><p><i class=\"bx bxs-washer amenity-icon\"><\/i> Laundry Facilities <\/p><p><i class=\"fa-classic fa-solid fa-ban amenity-icon\"><\/i> No Patios <\/p><\/div><\/div><input autocomplete=\"off\"  type=\"checkbox\" name=\"housing_selection_name[]\" value=\"Huronview Apartments\" class=\"housing-selection-checkbox\" style=\"display:none;\"><\/div><\/div><\/div><div class=\"accordion-section\"><h3 class=\"gsection_title accordion-header\" id=\"accordion-8\"><i class=\"fa-solid fa-caret-down\" style=\"margin-right: 20px;\"><\/i>Sombra<\/h3><div class=\"accordion-content\" data-accordion=\"accordion-8\" style=\"display:none;\"><div class=\"housing-option\" data-id=\"12269\"><div class=\"housing-location\"><h4 class=\"housing-location-name\">Sombra Apartments<\/h4><p>3548 St. Clair Street<\/p><p>Sombra, Ontario, N0P 2H0<\/p><p><a href=\"#\" class=\"map-popup-link\" data-mfp-src=\"https:\/\/maps.google.com\/maps?q=3548+St.+Clair+Street%2C+Sombra%2C+Ontario%2C+N0P+2H0&#038;output=embed\">View on Map<\/a><\/p><div class=\"housing-images\"><\/div><\/div><div class=\"housing-details\"><h4>Building Type<\/h4><p>Apartment<\/p><h4>Unit Sizes<\/h4><p>1 Bedroom<\/p><h4>Program<\/h4><p>County of Lambton Owned Unit<\/p><\/div><div class=\"housing-notes\"><h4>Amenities and Notes<\/h4><div class=\"amenities-container\"><p><i class=\"fa-solid fa-check amenity-icon\"><\/i> LULA Lift <i class=\"fa fa-question-circle\" data-tooltip=\"Limited Use Limited Application Elevator: A small, energy-efficient elevator designed for low-rise buildings where accessibility is required but usage is limited.\"><\/i><\/p><p><i class=\"bx bxs-washer amenity-icon\"><\/i> Laundry Facilities <\/p><\/div><\/div><input autocomplete=\"off\"  type=\"checkbox\" name=\"housing_selection_name[]\" value=\"Sombra Apartments\" class=\"housing-selection-checkbox\" style=\"display:none;\"><\/div><\/div><\/div><div class=\"accordion-section\"><h3 class=\"gsection_title accordion-header\" id=\"accordion-9\"><i class=\"fa-solid fa-caret-down\" style=\"margin-right: 20px;\"><\/i>Thedford<\/h3><div class=\"accordion-content\" data-accordion=\"accordion-9\" style=\"display:none;\"><div class=\"housing-option\" data-id=\"12283\"><div class=\"housing-location\"><h4 class=\"housing-location-name\">Meadowview Townhouses<\/h4><p>173 Deacon Street<\/p><p>Thedford, Ontario, N0M 2N0<\/p><p><a href=\"#\" class=\"map-popup-link\" data-mfp-src=\"https:\/\/maps.google.com\/maps?q=173+Deacon+Street%2C+Thedford%2C+Ontario%2C+N0M+2N0&#038;output=embed\">View on Map<\/a><\/p><div class=\"housing-images\"><\/div><\/div><div class=\"housing-details\"><h4>Building Type<\/h4><p>Townhouse<\/p><h4>Unit Sizes<\/h4><p>2 Bedroom<br>3 Bedroom<br>4 Bedroom<br>5 Bedroom<\/p><h4>Program<\/h4><p>Non Profit Housing Provider<\/p><\/div><div class=\"housing-notes\"><h4>Amenities and Notes<\/h4><div class=\"amenities-container\"><p><i class=\"fa-solid fa-dollar-sign amenity-icon\"><\/i> Utilities Extra <\/p><p><i class=\"fa-solid fa-paw amenity-icon\"><\/i> Pet Restrictions *<\/p><p><i class=\"fa-solid fa-check amenity-icon\"><\/i> Laundry Hookups <\/p><\/div><p class='pet-policy'>* 1 Pet Max, spayed\/neutered, up-to-date vaccines<\/p><\/br><h4><i class='fa-solid fa-wheelchair'><\/i> Wheelchair Modified Units available:<\/strong><\/h4><p>3 Bedroom<\/p><\/div><input autocomplete=\"off\"  type=\"checkbox\" name=\"housing_selection_name[]\" value=\"Meadowview Townhouses\" class=\"housing-selection-checkbox\" style=\"display:none;\"><\/div><div class=\"housing-option\" data-id=\"12281\"><div class=\"housing-location\"><h4 class=\"housing-location-name\">Widder Court Seniors<\/h4><p>172 Deacon Street<\/p><p>Thedford, Ontario, N0M 2N0<\/p><p><a href=\"#\" class=\"map-popup-link\" data-mfp-src=\"https:\/\/maps.google.com\/maps?q=172+Deacon+Street%2C+Thedford%2C+Ontario%2C+N0M+2N0&#038;output=embed\">View on Map<\/a><\/p><div class=\"housing-images\"><\/div><\/div><div class=\"housing-details\"><h4>Building Type<\/h4><p>Seniors Only Apartment Building<\/p><h4>Unit Sizes<\/h4><p>1 Bedroom<br>2 Bedroom<\/p><h4>Program<\/h4><p>Non Profit Housing Provider<\/p><\/div><div class=\"housing-notes\"><h4>Amenities and Notes<\/h4><div class=\"amenities-container\"><p><i class=\"fa-solid fa-ban-smoking amenity-icon\"><\/i> Smoke-Free Property <\/p><p><i class=\"fa-solid fa-paw amenity-icon\"><\/i> Pet Restrictions *<\/p><p><i class=\"bx bxs-washer amenity-icon\"><\/i> Laundry Facilities <\/p><p><i class=\"fa-classic fa-solid fa-check amenity-icon\"><\/i> 65 Years Old + <\/p><\/div><p class='pet-policy'>* 1 pet policy (max 20 lbs\/20\", spayed\/ neutered, up-to-date vaccines)<\/p><\/br><h4><i class='fa-solid fa-wheelchair'><\/i> Wheelchair Modified Units available:<\/strong><\/h4><p>1 Bedroom<\/p><\/div><input autocomplete=\"off\"  type=\"checkbox\" name=\"housing_selection_name[]\" value=\"Widder Court Seniors\" class=\"housing-selection-checkbox\" style=\"display:none;\"><\/div><div class=\"housing-option\" data-id=\"12286\"><div class=\"housing-location\"><h4 class=\"housing-location-name\">Mill Street Singles<\/h4><p>76 Mill Street<\/p><p>Thedford, Ontario, N0M 2N0<\/p><p><a href=\"#\" class=\"map-popup-link\" data-mfp-src=\"https:\/\/maps.google.com\/maps?q=76+Mill+Street%2C+Thedford%2C+Ontario%2C+N0M+2N0&#038;output=embed\">View on Map<\/a><\/p><div class=\"housing-images\"><\/div><\/div><div class=\"housing-details\"><h4>Building Type<\/h4><p>Apartment<\/p><h4>Unit Sizes<\/h4><p>1 Bedroom<\/p><h4>Program<\/h4><p>Non Profit Housing Provider<\/p><\/div><div class=\"housing-notes\"><h4>Amenities and Notes<\/h4><div class=\"amenities-container\"><p><i class=\"fa-solid fa-paw amenity-icon\"><\/i> Pet Restrictions *<\/p><p><i class=\"bx bxs-washer amenity-icon\"><\/i> Laundry Facilities <\/p><p><i class=\"fa-solid fa-check amenity-icon\"><\/i> Walk-Up <\/p><\/div><p class='pet-policy'>* 1 pet policy (max 20 lbs\/20\", spayed\/ neutered, up-to-date vaccines)<\/p><\/div><input autocomplete=\"off\"  type=\"checkbox\" name=\"housing_selection_name[]\" value=\"Mill Street Singles\" class=\"housing-selection-checkbox\" style=\"display:none;\"><\/div><div class=\"housing-option\" data-id=\"12288\"><div class=\"housing-location\"><h4 class=\"housing-location-name\">Golden Villa<\/h4><p>47 Royal Street<\/p><p>Thedford, Ontario, N0M 2N0<\/p><p><a href=\"#\" class=\"map-popup-link\" data-mfp-src=\"https:\/\/maps.google.com\/maps?q=47+Royal+Street%2C+Thedford%2C+Ontario%2C+N0M+2N0&#038;output=embed\">View on Map<\/a><\/p><div class=\"housing-images\"><\/div><\/div><div class=\"housing-details\"><h4>Building Type<\/h4><p>Apartment<\/p><h4>Unit Sizes<\/h4><p>1 Bedroom<\/p><h4>Program<\/h4><p>County of Lambton Owned Unit<\/p><\/div><div class=\"housing-notes\"><h4>Amenities and Notes<\/h4><div class=\"amenities-container\"><p><i class=\"bx bxs-washer amenity-icon\"><\/i> Laundry Facilities <\/p><\/div><\/div><input autocomplete=\"off\"  type=\"checkbox\" name=\"housing_selection_name[]\" value=\"Golden Villa\" class=\"housing-selection-checkbox\" style=\"display:none;\"><\/div><\/div><\/div><div class=\"accordion-section\"><h3 class=\"gsection_title accordion-header\" id=\"accordion-10\"><i class=\"fa-solid fa-caret-down\" style=\"margin-right: 20px;\"><\/i>Watford<\/h3><div class=\"accordion-content\" data-accordion=\"accordion-10\" style=\"display:none;\"><div class=\"housing-option\" data-id=\"12294\"><div class=\"housing-location\"><h4 class=\"housing-location-name\">Watford Apartments<\/h4><p>475 Ontario Street<\/p><p>Watford, Ontario, N0M 2S0<\/p><p><a href=\"#\" class=\"map-popup-link\" data-mfp-src=\"https:\/\/maps.google.com\/maps?q=475+Ontario+Street%2C+Watford%2C+Ontario%2C+N0M+2S0&#038;output=embed\">View on Map<\/a><\/p><div class=\"housing-images\"><\/div><\/div><div class=\"housing-details\"><h4>Building Type<\/h4><p>Apartment<\/p><h4>Unit Sizes<\/h4><p>1 Bedroom<\/p><h4>Program<\/h4><p>County of Lambton Owned Unit<\/p><\/div><div class=\"housing-notes\"><h4>Amenities and Notes<\/h4><div class=\"amenities-container\"><p><i class=\"fa-solid fa-check amenity-icon\"><\/i> LULA Lift <i class=\"fa fa-question-circle\" data-tooltip=\"Limited Use Limited Application Elevator: A small, energy-efficient elevator designed for low-rise buildings where accessibility is required but usage is limited.\"><\/i><\/p><p><i class=\"bx bxs-washer amenity-icon\"><\/i> Laundry Facilities <\/p><\/div><\/br><h4><i class='fa-solid fa-wheelchair'><\/i> Wheelchair Modified Units available:<\/strong><\/h4><p>1 Bedroom<\/p><\/div><input autocomplete=\"off\"  type=\"checkbox\" name=\"housing_selection_name[]\" value=\"Watford Apartments\" class=\"housing-selection-checkbox\" style=\"display:none;\"><\/div><div class=\"housing-option\" data-id=\"12308\"><div class=\"housing-location\"><h4 class=\"housing-location-name\">Ambassador Place<\/h4><p>356 St. Clair Street<\/p><p>Watford, Ontario, N0M 2S0<\/p><p><a href=\"#\" class=\"map-popup-link\" data-mfp-src=\"https:\/\/maps.google.com\/maps?q=356+St.+Clair+Street%2C+Watford%2C+Ontario%2C+N0M+2S0&#038;output=embed\">View on Map<\/a><\/p><div class=\"housing-images\"><\/div><\/div><div class=\"housing-details\"><h4>Building Type<\/h4><p>Townhouse, Apartment<\/p><h4>Unit Sizes<\/h4><p>1 Bedroom<br>2 Bedroom<br>3 Bedroom<br>4 Bedroom<\/p><h4>Program<\/h4><p>Non Profit Housing Provider<\/p><\/div><div class=\"housing-notes\"><h4>Amenities and Notes<\/h4><div class=\"amenities-container\"><p><i class=\"fa-solid fa-dollar-sign amenity-icon\"><\/i> Utilities Extra <\/p><p><i class=\"bx bxs-washer amenity-icon\"><\/i> Laundry Facilities <\/p><p><i class=\"fa-solid fa-check amenity-icon\"><\/i> Walk-Up <\/p><\/div><\/br><h4><i class='fa-solid fa-wheelchair'><\/i> Wheelchair Modified Units available:<\/strong><\/h4><p>1 Bedroom<\/p><p>2 Bedroom<\/p><\/div><input autocomplete=\"off\"  type=\"checkbox\" name=\"housing_selection_name[]\" value=\"Ambassador Place\" class=\"housing-selection-checkbox\" style=\"display:none;\"><\/div><\/div><\/div><div class=\"accordion-section\"><h3 class=\"gsection_title accordion-header\" id=\"accordion-11\"><i class=\"fa-solid fa-caret-down\" style=\"margin-right: 20px;\"><\/i>Wyoming<\/h3><div class=\"accordion-content\" data-accordion=\"accordion-11\" style=\"display:none;\"><div class=\"housing-option\" data-id=\"12310\"><div class=\"housing-location\"><h4 class=\"housing-location-name\">Parkside Apartments<\/h4><p>587 Ontario Street<\/p><p>Wyoming, Ontario, N0N 1T0<\/p><p><a href=\"#\" class=\"map-popup-link\" data-mfp-src=\"https:\/\/maps.google.com\/maps?q=587+Ontario+Street%2C+Wyoming%2C+Ontario%2C+N0N+1T0&#038;output=embed\">View on Map<\/a><\/p><div class=\"housing-images\"><\/div><\/div><div class=\"housing-details\"><h4>Building Type<\/h4><p>Apartment<\/p><h4>Unit Sizes<\/h4><p>1 Bedroom<\/p><h4>Program<\/h4><p>County of Lambton Owned Unit<\/p><\/div><div class=\"housing-notes\"><h4>Amenities and Notes<\/h4><div class=\"amenities-container\"><p><i class=\"fa-solid fa-check amenity-icon\"><\/i> LULA Lift <i class=\"fa fa-question-circle\" data-tooltip=\"Limited Use Limited Application Elevator: A small, energy-efficient elevator designed for low-rise buildings where accessibility is required but usage is limited.\"><\/i><\/p><p><i class=\"bx bxs-washer amenity-icon\"><\/i> Laundry Facilities <\/p><\/div><\/br><h4><i class='fa-solid fa-wheelchair'><\/i> Wheelchair Modified Units available:<\/strong><\/h4><p>1 Bedroom<\/p><\/div><input autocomplete=\"off\"  type=\"checkbox\" name=\"housing_selection_name[]\" value=\"Parkside Apartments\" class=\"housing-selection-checkbox\" style=\"display:none;\"><\/div><\/div><\/div><h3 class=\"gsection_title\">Other Options<\/h3><div class=\"housing-option\" style=\"display: block\"><h4>Portable Housing Benefit<\/h4><p style=\"line-height:normal\">The Portable Housing Benefit (PHB) provides a monthly subsidy to eligible applicants. This benefit allows the household to secure their own accommodations in the private market anywhere in Lambton County.<\/p><\/br><div class=\"housing-select-option\"><button type=\"button\" class=\"select-option-button\" data-value=\"Portable Housing Benefit\">Select Option<\/button><\/div><\/br><input autocomplete=\"off\"  type=\"checkbox\" name=\"housing_selection_name[]\" value=\"Portable Housing Benefit\" class=\"housing-selection-checkbox\" style=\"display:none;\" ><\/div><div class=\"housing-option\" style=\"display: block\"><h4>Let me know of any future housing<\/h4><p style=\"line-height:normal\">I am interested in being contacted for locations not included on this list if they become available in the municipalities that I have shown an interest in.<\/p><\/br><div class=\"housing-select-option\"><button type=\"button\" class=\"select-option-button\" data-value=\"Let me know of any future housing\">Select Option<\/button><\/div><\/br><input autocomplete=\"off\"  type=\"checkbox\" name=\"housing_selection_name[]\" value=\"Let me know of any future housing\" class=\"housing-selection-checkbox\" style=\"display:none;\" ><\/div><\/div><input autocomplete=\"off\"  type=\"hidden\" name=\"input_50\" id=\"input_50\" value=\"\"\/><\/div><\/div>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                        <input type='button' id='gform_previous_button_5_172' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this)' value='Back'  \/> <input type='button' id='gform_next_button_5_172' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this)' value='Next'  \/> <button type='button'  id='gform_save_5_12_link' onclick='gform.submission.handleButtonClick(this)' class='gform_save_link gform-theme-button gform-theme-button--secondary button'  ><svg aria-hidden=\"true\" focusable=\"false\" width=\"16\" height=\"16\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path fill-rule=\"evenodd\" clip-rule=\"evenodd\" d=\"M0 8a4 4 0 004 4h3v3a1 1 0 102 0v-3h3a4 4 0 100-8 4 4 0 10-8 0 4 4 0 00-4 4zm9 4H7V7.414L5.707 8.707a1 1 0 01-1.414-1.414l3-3a1 1 0 011.414 0l3 3a1 1 0 01-1.414 1.414L9 7.414V12z\" fill=\"#6B7280\"\/><\/svg> Save and Continue Later<\/button>\n                    <\/div>\n                <\/div>\n                <div id='gform_page_5_12' class='gform_page' data-js='page-field-id-172' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_5_12' class='gform_fields top_label form_sublabel_below description_above validation_below'><div id=\"field_5_190\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_5_190\" ><h3>Please review the below information for errors before submitting <\/h3>\n<\/br>\n{all_fields}<\/div><div id=\"field_5_173\" class=\"gfield gfield--type-textarea gfield--input-type-textarea gfield--width-full field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_5_173\" ><label class='gfield_label gform-field-label' for='input_5_173'>Additional Comments<\/label><div class='gfield_description' id='gfield_description_5_173'>Is there any other information you would like to include in this application.<\/div><div class='ginput_container ginput_container_textarea'><textarea autocomplete=\"off\"  name='input_173' id='input_5_173' class='textarea large'  aria-describedby=\"gfield_description_5_173\" maxlength='500'   aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><div id=\"field_5_201\" class=\"gfield gfield--type-textarea gfield--input-type-textarea gfield--width-full field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_hidden\"  data-js-reload=\"field_5_201\" ><div class=\"admin-hidden-markup\"><i class=\"gform-icon gform-icon--hidden\" aria-hidden=\"true\" title=\"This field is hidden when viewing the form\"><\/i><span>This field is hidden when viewing the form<\/span><\/div><label class='gfield_label gform-field-label' for='input_5_201'>Existing Application\/Household Data<\/label><div class='ginput_container ginput_container_textarea'><textarea autocomplete=\"off\"  name='input_201' id='input_5_201' class='textarea large'      aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><fieldset id=\"field_5_204\" class=\"gfield gfield--type-name gfield--input-type-name gfield--width-full field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_hidden\"  data-js-reload=\"field_5_204\" ><div class=\"admin-hidden-markup\"><i class=\"gform-icon gform-icon--hidden\" aria-hidden=\"true\" title=\"This field is hidden when viewing the form\"><\/i><span>This field is hidden when viewing the form<\/span><\/div><legend class='gfield_label gform-field-label gfield_label_before_complex' >Existing Application Name<\/legend><div class='ginput_complex ginput_container ginput_container--name no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name gform-grid-row' id='input_5_204'>\n                            \n                            <span id='input_5_204_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <input autocomplete=\"off\"  type='text' name='input_204.3' id='input_5_204_3' value=''   aria-required='false'     \/>\n                                                    <label for='input_5_204_3' class='gform-field-label gform-field-label--type-sub '>Pr\u00e9nom<\/label>\n                                                <\/span>\n                            \n                            <span id='input_5_204_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                    <input autocomplete=\"off\"  type='text' name='input_204.6' id='input_5_204_6' value=''   aria-required='false'     \/>\n                                                    <label for='input_5_204_6' class='gform-field-label gform-field-label--type-sub '>Nom<\/label>\n                                                <\/span>\n                            \n                        <\/div><\/fieldset><div id=\"field_5_206\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_hidden\"  data-js-reload=\"field_5_206\" ><div class=\"admin-hidden-markup\"><i class=\"gform-icon gform-icon--hidden\" aria-hidden=\"true\" title=\"This field is hidden when viewing the form\"><\/i><span>This field is hidden when viewing the form<\/span><\/div><label class='gfield_label gform-field-label' for='input_5_206'>Relation to Existing Application<\/label><div class='ginput_container ginput_container_text'><input autocomplete=\"off\"  name='input_206' id='input_5_206' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><fieldset id=\"field_5_205\" class=\"gfield gfield--type-address gfield--input-type-address gfield--width-full field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_hidden\"  data-js-reload=\"field_5_205\" ><div class=\"admin-hidden-markup\"><i class=\"gform-icon gform-icon--hidden\" aria-hidden=\"true\" title=\"This field is hidden when viewing the form\"><\/i><span>This field is hidden when viewing the form<\/span><\/div><legend class='gfield_label gform-field-label gfield_label_before_complex' >Existing Address<\/legend>    \n                    <div class='ginput_complex ginput_container has_street has_street2 has_city has_state has_zip has_country ginput_container_address gform-grid-row' id='input_5_205' >\n                         <span class='ginput_full address_line_1 ginput_address_line_1 gform-grid-col' id='input_5_205_1_container' >\n                                        <input autocomplete=\"off\"  type='text' name='input_205.1' id='input_5_205_1' value=''    aria-required='false'    \/>\n                                        <label for='input_5_205_1' id='input_5_205_1_label' class='gform-field-label gform-field-label--type-sub '>Adresse postale<\/label>\n                                    <\/span><span class='ginput_full address_line_2 ginput_address_line_2 gform-grid-col' id='input_5_205_2_container' >\n                                        <input autocomplete=\"off\"  type='text' name='input_205.2' id='input_5_205_2' value=''     aria-required='false'   \/>\n                                        <label for='input_5_205_2' id='input_5_205_2_label' class='gform-field-label gform-field-label--type-sub '>Adresse ligne 2<\/label>\n                                    <\/span><span class='ginput_left address_city ginput_address_city gform-grid-col' id='input_5_205_3_container' >\n                                    <input autocomplete=\"off\"  type='text' name='input_205.3' id='input_5_205_3' value=''    aria-required='false'    \/>\n                                    <label for='input_5_205_3' id='input_5_205_3_label' class='gform-field-label gform-field-label--type-sub '>Ville<\/label>\n                                 <\/span><span class='ginput_right address_state ginput_address_state gform-grid-col' id='input_5_205_4_container' >\n                                        <input autocomplete=\"off\"  type='text' name='input_205.4' id='input_5_205_4' value=''      aria-required='false'    \/>\n                                        <label for='input_5_205_4' id='input_5_205_4_label' class='gform-field-label gform-field-label--type-sub '>\u00c9tat \/ Province \/ R\u00e9gion<\/label>\n                                      <\/span><span class='ginput_left address_zip ginput_address_zip gform-grid-col' id='input_5_205_5_container' >\n                                    <input autocomplete=\"off\"  type='text' name='input_205.5' id='input_5_205_5' value=''    aria-required='false'    \/>\n                                    <label for='input_5_205_5' id='input_5_205_5_label' class='gform-field-label gform-field-label--type-sub '>ZIP \/ Code postal<\/label>\n                                <\/span><span class='ginput_right address_country ginput_address_country gform-grid-col' id='input_5_205_6_container' >\n                                        <select name='input_205.6' id='input_5_205_6'   aria-required='false'    ><option value='' selected='selected'><\/option><option value='Afghanistan' >Afghanistan<\/option><option value='Afrique du Sud' >Afrique du Sud<\/option><option value='Albanie' >Albanie<\/option><option value='Alg\u00e9rie' >Alg\u00e9rie<\/option><option value='Allemagne' >Allemagne<\/option><option value='Andorre' >Andorre<\/option><option value='Angola' >Angola<\/option><option value='Anguilla' >Anguilla<\/option><option value='Antarctique' >Antarctique<\/option><option value='Antigua-et-Barbuda' >Antigua-et-Barbuda<\/option><option value='Arabie Saoudite' >Arabie Saoudite<\/option><option value='Argentine' >Argentine<\/option><option value='Arm\u00e9nie' >Arm\u00e9nie<\/option><option value='Aruba' >Aruba<\/option><option value='Australie' >Australie<\/option><option value='Autriche' >Autriche<\/option><option value='Azerba\u00efdjan' >Azerba\u00efdjan<\/option><option value='Bahamas' >Bahamas<\/option><option value='Bahre\u00efn' >Bahre\u00efn<\/option><option value='Bangladesh' >Bangladesh<\/option><option value='Belarus' >Belarus<\/option><option value='Belgique' >Belgique<\/option><option value='Belize' >Belize<\/option><option value='Bermudes' >Bermudes<\/option><option value='Bhoutan' >Bhoutan<\/option><option value='Bolivie' >Bolivie<\/option><option value='Bonaire, Saint-Eustache et Saba' >Bonaire, Saint-Eustache et Saba<\/option><option value='Bosnie-Herz\u00e9govine' >Bosnie-Herz\u00e9govine<\/option><option value='Botswana' >Botswana<\/option><option value='Brunei Darussalam' >Brunei Darussalam<\/option><option value='Br\u00e9sil' >Br\u00e9sil<\/option><option value='Bulgarie' >Bulgarie<\/option><option value='Burkina Faso' >Burkina Faso<\/option><option value='Burundi' >Burundi<\/option><option value='B\u00e9nin' >B\u00e9nin<\/option><option value='Cambodge' >Cambodge<\/option><option value='Cameroun' >Cameroun<\/option><option value='Canada' >Canada<\/option><option value='Cap-Vert' >Cap-Vert<\/option><option value='Chili' >Chili<\/option><option value='Chine' >Chine<\/option><option value='Chypre' >Chypre<\/option><option value='Colombie' >Colombie<\/option><option value='Comores' >Comores<\/option><option value='Congo' >Congo<\/option><option value='Costa Rica' >Costa Rica<\/option><option value='Croatie' >Croatie<\/option><option value='Cuba' >Cuba<\/option><option value='Cura\u00e7ao' >Cura\u00e7ao<\/option><option value='Czechia' >Czechia<\/option><option value='C\u00f4te d\u2019Ivoire' >C\u00f4te d\u2019Ivoire<\/option><option value='Danemark' >Danemark<\/option><option value='Djibouti' >Djibouti<\/option><option value='Dominique' >Dominique<\/option><option value='Espagne' >Espagne<\/option><option value='Estonie' >Estonie<\/option><option value='Eswatini' >Eswatini<\/option><option value='Fidji' >Fidji<\/option><option value='Finlande' >Finlande<\/option><option value='France' >France<\/option><option value='Gabon' >Gabon<\/option><option value='Gambie' >Gambie<\/option><option value='Ghana' >Ghana<\/option><option value='Gibraltar' >Gibraltar<\/option><option value='Grenade' >Grenade<\/option><option value='Groenland' >Groenland<\/option><option value='Gr\u00e8ce' >Gr\u00e8ce<\/option><option value='Guadeloupe' >Guadeloupe<\/option><option value='Guam' >Guam<\/option><option value='Guatemala' >Guatemala<\/option><option value='Guernesey' >Guernesey<\/option><option value='Guin\u00e9e' >Guin\u00e9e<\/option><option value='Guin\u00e9e Fran\u00e7aise' >Guin\u00e9e Fran\u00e7aise<\/option><option value='Guin\u00e9e \u00e9quatoriale' >Guin\u00e9e \u00e9quatoriale<\/option><option value='Guin\u00e9e-Bissau' >Guin\u00e9e-Bissau<\/option><option value='Guyane' >Guyane<\/option><option value='G\u00e9orgie' >G\u00e9orgie<\/option><option value='Ha\u00efti' >Ha\u00efti<\/option><option value='Heard Island and McDonald Islands' >Heard Island and McDonald Islands<\/option><option value='Honduras' >Honduras<\/option><option value='Hong Kong' >Hong Kong<\/option><option value='Hongrie' >Hongrie<\/option><option value='Iles Aland' >Iles Aland<\/option><option value='Inde' >Inde<\/option><option value='Indon\u00e9sie' >Indon\u00e9sie<\/option><option value='Irak' >Irak<\/option><option value='Iran' >Iran<\/option><option value='Irlande' >Irlande<\/option><option value='Islande' >Islande<\/option><option value='Isra\u00ebl' >Isra\u00ebl<\/option><option value='Italie' >Italie<\/option><option value='Jama\u00efque' >Jama\u00efque<\/option><option value='Japon' >Japon<\/option><option value='Jersey' >Jersey<\/option><option value='Jordanie' >Jordanie<\/option><option value='Kazakhstan' >Kazakhstan<\/option><option value='Kenya' >Kenya<\/option><option value='Kirghizistan' >Kirghizistan<\/option><option value='Kiribati' >Kiribati<\/option><option value='Korea, Democratic People&#039;s Republic of' >Korea, Democratic People&#039;s Republic of<\/option><option value='Korea, Republic of' >Korea, Republic of<\/option><option value='Kowe\u00eft' >Kowe\u00eft<\/option><option value='La Barbade' >La Barbade<\/option><option value='La R\u00e9union' >La R\u00e9union<\/option><option value='Lesotho' >Lesotho<\/option><option value='Lettonie' >Lettonie<\/option><option value='Liban' >Liban<\/option><option value='Liberia' >Liberia<\/option><option value='Libye' >Libye<\/option><option value='Liechtenstein' >Liechtenstein<\/option><option value='Lituanie' >Lituanie<\/option><option value='Luxembourg' >Luxembourg<\/option><option value='Macao' >Macao<\/option><option value='Madagascar' >Madagascar<\/option><option value='Malaisie' >Malaisie<\/option><option value='Malawi' >Malawi<\/option><option value='Maldives' >Maldives<\/option><option value='Mali' >Mali<\/option><option value='Malte' >Malte<\/option><option value='Maroc' >Maroc<\/option><option value='Martinique' >Martinique<\/option><option value='Mauritanie' >Mauritanie<\/option><option value='Mayotte' >Mayotte<\/option><option value='Mexique' >Mexique<\/option><option value='Micron\u00e9sie' >Micron\u00e9sie<\/option><option value='Moldavie' >Moldavie<\/option><option value='Monaco' >Monaco<\/option><option value='Mongolie' >Mongolie<\/option><option value='Montserrat' >Montserrat<\/option><option value='Mont\u00e9n\u00e9gro' >Mont\u00e9n\u00e9gro<\/option><option value='Mozambique' >Mozambique<\/option><option value='Myanmar' >Myanmar<\/option><option value='Namibie' >Namibie<\/option><option value='Nauru' >Nauru<\/option><option value='Nicaragua' >Nicaragua<\/option><option value='Niger' >Niger<\/option><option value='Nig\u00e9ria' >Nig\u00e9ria<\/option><option value='Niue' >Niue<\/option><option value='North Macedonia' >North Macedonia<\/option><option value='Norv\u00e8ge' >Norv\u00e8ge<\/option><option value='Nouvelle Cal\u00e9donie' >Nouvelle Cal\u00e9donie<\/option><option value='Nouvelle-Z\u00e9lande' >Nouvelle-Z\u00e9lande<\/option><option value='N\u00e9pal' >N\u00e9pal<\/option><option value='Oman' >Oman<\/option><option value='Ouganda' >Ouganda<\/option><option value='Ouzb\u00e9kistan' >Ouzb\u00e9kistan<\/option><option value='Pakistan' >Pakistan<\/option><option value='Palau' >Palau<\/option><option value='Panama' >Panama<\/option><option value='Papouasie-Nouvelle-Guin\u00e9e' >Papouasie-Nouvelle-Guin\u00e9e<\/option><option value='Paraguay' >Paraguay<\/option><option value='Pays-Bas' >Pays-Bas<\/option><option value='Philippines' >Philippines<\/option><option value='Pitcairn' >Pitcairn<\/option><option value='Pologne' >Pologne<\/option><option value='Polyn\u00e9sie fran\u00e7aise' >Polyn\u00e9sie fran\u00e7aise<\/option><option value='Porto Rico' >Porto Rico<\/option><option value='Portugal' >Portugal<\/option><option value='P\u00e9rou' >P\u00e9rou<\/option><option value='Qatar' >Qatar<\/option><option value='Roumanie' >Roumanie<\/option><option value='Royaume-Uni' >Royaume-Uni<\/option><option value='Russian Federation' >Russian Federation<\/option><option value='Rwanda' >Rwanda<\/option><option value='R\u00e9publique Dominicaine' >R\u00e9publique Dominicaine<\/option><option value='R\u00e9publique centrafricaine' >R\u00e9publique centrafricaine<\/option><option value='R\u00e9publique d\u00e9mocratique du Congo' >R\u00e9publique d\u00e9mocratique du Congo<\/option><option value='R\u00e9publique d\u00e9mocratique populaire Lao' >R\u00e9publique d\u00e9mocratique populaire Lao<\/option><option value='Sahara occidental' >Sahara occidental<\/option><option value='Saint Barth\u00e9lemy' >Saint Barth\u00e9lemy<\/option><option value='Saint Helena, Ascension and Tristan da Cunha' >Saint Helena, Ascension and Tristan da Cunha<\/option><option value='Saint Martin' >Saint Martin<\/option><option value='Saint-Christophe-et-Nevis' >Saint-Christophe-et-Nevis<\/option><option value='Saint-Marin' >Saint-Marin<\/option><option value='Saint-Martin' >Saint-Martin<\/option><option value='Saint-Pierre-et-Miquelon' >Saint-Pierre-et-Miquelon<\/option><option value='Saint-Si\u00e8ge' >Saint-Si\u00e8ge<\/option><option value='Saint-Vincent-et-les Grenadines' >Saint-Vincent-et-les Grenadines<\/option><option value='Sainte-Lucie' >Sainte-Lucie<\/option><option value='Salvador' >Salvador<\/option><option value='Samoa' >Samoa<\/option><option value='Samoa am\u00e9ricaines' >Samoa am\u00e9ricaines<\/option><option value='Sao Tom\u00e9 et Principe' >Sao Tom\u00e9 et Principe<\/option><option value='Serbie' >Serbie<\/option><option value='Seychelles' >Seychelles<\/option><option value='Sierra Leone' >Sierra Leone<\/option><option value='Singapour' >Singapour<\/option><option value='Slovaquie' >Slovaquie<\/option><option value='Slov\u00e9nie' >Slov\u00e9nie<\/option><option value='Somalie' >Somalie<\/option><option value='Soudan' >Soudan<\/option><option value='Soudan du Sud' >Soudan du Sud<\/option><option value='South Georgia and the South Sandwich Islands' >South Georgia and the South Sandwich Islands<\/option><option value='Sri Lanka' >Sri Lanka<\/option><option value='Suisse' >Suisse<\/option><option value='Suriname' >Suriname<\/option><option value='Su\u00e8de' >Su\u00e8de<\/option><option value='Svalbard and Jan Mayen' >Svalbard and Jan Mayen<\/option><option value='Syria Arab Republic' >Syria Arab Republic<\/option><option value='S\u00e9n\u00e9gal' >S\u00e9n\u00e9gal<\/option><option value='Tadjikistan' >Tadjikistan<\/option><option value='Tanzania, the United Republic of' >Tanzania, the United Republic of<\/option><option value='Ta\u00efwan' >Ta\u00efwan<\/option><option value='Tchad' >Tchad<\/option><option value='Terres australes Fran\u00e7aises' >Terres australes Fran\u00e7aises<\/option><option value='Territoire britannique de l&#039;oc\u00e9an Indien' >Territoire britannique de l&#039;oc\u00e9an Indien<\/option><option value='Tha\u00eflande' >Tha\u00eflande<\/option><option value='Timor-Leste' >Timor-Leste<\/option><option value='Togo' >Togo<\/option><option value='Tokelau' >Tokelau<\/option><option value='Tonga' >Tonga<\/option><option value='Trinit\u00e9 et Tobago' >Trinit\u00e9 et Tobago<\/option><option value='Tunisie' >Tunisie<\/option><option value='Turkm\u00e9nistan' >Turkm\u00e9nistan<\/option><option value='Tuvalu' >Tuvalu<\/option><option value='T\u00fcrkiye' >T\u00fcrkiye<\/option><option value='Ukraine' >Ukraine<\/option><option value='Uruguay' >Uruguay<\/option><option value='Vanuatu' >Vanuatu<\/option><option value='Venezuela' >Venezuela<\/option><option value='Viet Nam' >Viet Nam<\/option><option value='Wallis et Futuna' >Wallis et Futuna<\/option><option value='Y\u00e9men' >Y\u00e9men<\/option><option value='Zambie' >Zambie<\/option><option value='Zimbabwe' >Zimbabwe<\/option><option value='\u00c9gypte' >\u00c9gypte<\/option><option value='\u00c9mirats arabes unis' >\u00c9mirats arabes unis<\/option><option value='\u00c9quateur' >\u00c9quateur<\/option><option value='\u00c9rythr\u00e9e' >\u00c9rythr\u00e9e<\/option><option value='\u00c9tat palestinien' >\u00c9tat palestinien<\/option><option value='\u00c9tats-Unis' >\u00c9tats-Unis<\/option><option value='\u00c9thiopie' >\u00c9thiopie<\/option><option value='\u00cele Bouvet' >\u00cele Bouvet<\/option><option value='\u00cele Maurice' >\u00cele Maurice<\/option><option value='\u00cele de Man' >\u00cele de Man<\/option><option value='\u00cele de Norfolk' >\u00cele de Norfolk<\/option><option value='\u00cele de No\u00ebl' >\u00cele de No\u00ebl<\/option><option value='\u00celes Cayman' >\u00celes Cayman<\/option><option value='\u00celes Cocos' >\u00celes Cocos<\/option><option value='\u00celes Cook' >\u00celes Cook<\/option><option value='\u00celes Falkland' >\u00celes Falkland<\/option><option value='\u00celes F\u00e9ro\u00e9' >\u00celes F\u00e9ro\u00e9<\/option><option value='\u00celes Mariannes du Nord' >\u00celes Mariannes du Nord<\/option><option value='\u00celes Marshall' >\u00celes Marshall<\/option><option value='\u00celes Salomon' >\u00celes Salomon<\/option><option value='\u00celes Turques-et-Ca\u00efques' >\u00celes Turques-et-Ca\u00efques<\/option><option value='\u00celes Vierges am\u00e9ricaines' >\u00celes Vierges am\u00e9ricaines<\/option><option value='\u00celes Vierges britanniques' >\u00celes Vierges britanniques<\/option><option value='\u00celes mineures \u00e9loign\u00e9es des \u00c9tats-Unis' >\u00celes mineures \u00e9loign\u00e9es des \u00c9tats-Unis<\/option><\/select>\n                                        <label for='input_5_205_6' id='input_5_205_6_label' class='gform-field-label gform-field-label--type-sub '>Pays<\/label>\n                                    <\/span>\n                    <div class='gf_clear gf_clear_complex'><\/div>\n                <\/div><\/fieldset><\/div>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                        <input type='button' id='gform_previous_button_5_194' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this)' value='Back'  \/> <input type='button' id='gform_next_button_5_194' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this)' value='Next'  \/> <button type='button'  id='gform_save_5_13_link' onclick='gform.submission.handleButtonClick(this)' class='gform_save_link gform-theme-button gform-theme-button--secondary button'  ><svg aria-hidden=\"true\" focusable=\"false\" width=\"16\" height=\"16\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path fill-rule=\"evenodd\" clip-rule=\"evenodd\" d=\"M0 8a4 4 0 004 4h3v3a1 1 0 102 0v-3h3a4 4 0 100-8 4 4 0 10-8 0 4 4 0 00-4 4zm9 4H7V7.414L5.707 8.707a1 1 0 01-1.414-1.414l3-3a1 1 0 011.414 0l3 3a1 1 0 01-1.414 1.414L9 7.414V12z\" fill=\"#6B7280\"\/><\/svg> Save and Continue Later<\/button>\n                    <\/div>\n                <\/div>\n                <div id='gform_page_5_13' class='gform_page' data-js='page-field-id-194' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_5_13' class='gform_fields top_label form_sublabel_below description_above validation_below'><div id=\"field_5_193\" class=\"gfield gfield--type-email gfield--input-type-email gfield--width-full field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_5_193\" ><label class='gfield_label gform-field-label' for='input_5_193'>Email Confirmation<\/label><div class='gfield_description' id='gfield_description_5_193'>Please enter your email if you would like to receive an email confirmation of Application Submission<\/div><div class='ginput_container ginput_container_email'>\n                            <input autocomplete=\"off\"  name='input_193' id='input_5_193' type='email' value='' class='large'     aria-invalid=\"false\" aria-describedby=\"gfield_description_5_193\" \/>\n           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