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* 1. Please Provide contact information that you can be reached at in the event that you win the draw

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* 2. Your age

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* 3. How do you identify? (If other please describe how you would like to be identified.)

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* 4. How Many adults in your household?

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* 5. Number of Children in your household (Under 19 years old)

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* 6. Do you live with people who are not your spouse or children? (Yes or No, If yes please describe relationship)

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* 7. Please Select all types of income that contribute to household expenses

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* 8. Please circle the total amount of household income

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* 9. Do you Currently live On or Off reserve?

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* 10. If you pay rent, what monthly amount is charged for rent?

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* 11. What are your monthly housing related expenses?

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* 12. What are your monthly non-housing related expenses?

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* 13. How much do you spend for annual maintenance? (ex. Gutter cleaning, furnace services, duct cleaning, lawn and driveway maintenance, small repairs, ext.) 

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* 14. Do you or someone in your household require handicap/accessible features in your home? (Yes or No, if Yes, please describe)

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* 15. Do you or someone in your household own land?

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* 16. If yes, please describe location below. (example: head of the lake, round lake, duck lake, white mans creek, etc.)

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* 17. Please number from 1 to 3 the location in which you would like to build a home. 1 being the most desirable.

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* 18. If a subdivision could offer communal septic, garbage pickup, water connection, road maintenance, street lights, etc. Would you consider living in a subdivision type setting?

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* 19. What other services or attributes would make a good subdivision:

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* 20. Please check off which amenities are most important when choosing a location for your future home:

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* 21. Desired type of housing?

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* 22. Do you currently have the funds for a down-payment on a house? If so, please disclose the amount.

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* 23. Do you plan on having a garden?

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* 24. What is the purpose of the desired garden? Food, Aesthetics or Other (Please describe

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* 25. Parking space required for daily driving vehicles?

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* 26. Parking space required for recreational vehicles?

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* 27. Desired source of heating?

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* 28. Where do you enjoy spending time with your family and friends while at home?

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* 29. Does your home play a key role in the practice of Okanagan Sylix traditions? Yes or No, If Yes please describe

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* 30. In regards to housing and the community, is there any other information you would like to provide that you think is an important consideration when planning for future housing needs?

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