2.
PERSONAL OVERVIEW
                                                NAME
                                  MAILING ADDRESS
                              PHYSICAL ADDRESS (if
                                different from mailing)
                      PREVIOUS ADDRESS (if less
                    than 3 years at present address)
                                                              Home Phone:
                                                              Work Phone:
                          CONTACT INFORMATION                   Cell Phone:
                                                              Fax Number:
                                                             Email Address:
                                     DATE OF BIRTH                  MM        DD              YYYY
                    SOCIAL INSURANCE NUMBER
                      DRIVER’S LICENSE NUMBER
                                   MARITAL STATUS
                                             High School:
                                         Year Completed:
             EDUCATION                Grades Completed:
                                         Post-Secondary:
                                  Diploma/Degree/Other:
                                               Employer:
                                                 Address:
                                                  Phone:
 EMPLOYMENT HISTORY                           Supervisor:
   (current employer first)
                                           Dates Worked:
                                                Job Title:
                                          Monthly Salary:
                                                                                   PERSONAL OVERVIEW - PAGE 1
                                Employer:
                                 Address:
                                   Phone:
                               Supervisor:
                           Dates Worked:
                                 Job Title:
                                Employer:
                                 Address:
                                   Phone:
                               Supervisor:
                           Dates Worked:
                                 Job Title:
                                Employer:
                                 Address:
                                   Phone:
                               Supervisor:
                           Dates Worked:
                                 Job Title:
                                    Name:
                             Date of Birth:
SPOUSE INFORMATION
                                      SIN:
                          Driver’s License:
                                Employer:
                                 Address:
                                   Phone:
SPOUSE EMPLOYMENT
     HISTORY (current          Supervisor:
        employer first)    Dates Worked:
                                 Job Title:
                           Monthly Salary:
                                Employer:
                                 Address:
                                   Phone:
                               Supervisor:
                           Dates Worked:
                                 Job Title:
                                Employer:
                                              PERSONAL OVERVIEW - PAGE 2
                               Address:
                                Phone:
                            Supervisor:
                              Employer:
                               Address:
                                Phone:
                            Supervisor:
                         Dates Worked:
                              Job Title:
                                 Name:
  FAMILY CONTACT               Address:
(nearest relative NOT
                                Phone:
      living with you)
                           Relationship:
                                 Name:
       CHARACTER               Address:
      REFERENCES                Phone:
(excluding family and
            relatives)   # Years Known:
                           Relationship:
                                 Name:
                               Address:
                                Phone:
                         # Years Known:
                           Relationship:
                                           PERSONAL OVERVIEW - PAGE 3
FINANCIAL INFORMATION
                           MONTHLY PERSONAL STATEMENT OF INCOME & EXPENSES
                    CURRENT INCOME                                        EXPENDITURES
 Salary/Wage/Commission                                  Mortgage/Taxes/Rent
 Rental Income                                           Household Insurance
 Business/Professional Income                            Vehicle Loan Payments
 Child Support / Alimony                                 Vehicle Insurance
 Child Tax Credit                                        Total Credit Card Payments
 Spouse’s Salary/Wage                                    Health/Life Insurance
 Other                                                   Child Support / Alimony
 Other                                                   Child Care
                                                         Utilities
                                                         Food
                                                         Other
                                                         Other
 TOTAL INCOME                                            TOTAL EXPENSES
                                   PERSONAL EQUITY STATEMENT
                             Please list and describe all Assets & Liabilities
                                      CURRENT                                               AMOUNT
             ASSETS                                               LIABILITIES
                                        VALUE                                             OUTSTANDING
 Cash – Bank of _____________                             Credit Card ______________
 Cash – Bank of _____________                           Credit Card ______________
                                                        Mortgage –
 BC Land Assessment Value of
 Home & Property (enter PID and                         Bank of _________________
 legal description)
                                                        Purchase Amt $
                                                        Interest Rate        %
 Automobile (make, model, year)                         Loan – Bank of ___________
                                                        Purpose: ________________
 Automobile (make, model, year)                         Loan – Bank of ___________
                                                        Purpose: ________________
                                                        Vehicle Loan
 RRSPs
                                                        Lender _________________
 Stocks, Bonds, Mutual Funds                            Family / Friend Loan
 Personal Household Effects                             Other
 Other                                                  Other
 TOTAL ASSETS (A)                                       TOTAL LIABILITIES (B)
TOTAL PERSONAL EQUITY (A - B) = $____________________________
                                                                                 PERSONAL OVERVIEW - PAGE 4