Shepherd Village

Manor Online Application

Independent Living at Shepherd Gardens

Independent Living at Shepherd Manor

Apartment Floor Plans

Online Application

Events

Assisted and Retirement Living at Shepherd Terrace

Long-Term Care at Shepherd Lodge

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To apply online, complete the application form below.

An aknowledgement letter will be sent to you shortly confirming your addition to the Manor wait list.
Shepherd Manor Application

Applicant 1

Name
PrefixFirstMiddleLastMaidenSuffix

Address
Street AddressAddress Line 2CityState / Province / RegionZip / Postal CodeCountry

Phone Number
Country(###)#######xExtension

Email Address

Birthdate dd/mm/yyyy

Applicant 2

Name
PrefixFirstMiddleLastMaidenSuffix

Birthdate dd/mm/yyyy

Relationship to Primary Applicant

Preferred Apartment Types (check all that apply)
J1 (bachelor)
J2 (bachelor)
G-type (1 bedroom)
A-type (1 bedroom)
C-type (1 bedroom)
E-type (1 bedroom)
B-type (1 bedroom)
D-type (1 bedroom)
H-type (2 bedroom)
F-type (2 bedroom)

Present Rent

Parking Required
Yes
No

Next of Kin

Name
PrefixFirstMiddleLastMaidenSuffix

Address
Street AddressAddress Line 2CityState / Province / RegionZip / Postal CodeCountry

Phone Number
Country(###)#######xExtension

Relationship to Applicant

Please indicate your current status:

If you choose 'Option A' you agree to receive phone calls once your name has arrived in sequence.

If you choose 'Option B' you do not wish to move in now and instead just wish to add your name to the waitlist. (you will not receive an apartment offer until you update this status)

Please tell us where you first heard about Shepherd Village:

If other, please specify:

By clicking 'submit' you confirm that the above information is accurate and correct.