This form collects some details about your housing requirements. We will tell you whether we are able to help you within a reasonable time. If we are unable to assist you in the near future we will keep your details on record to guide future development decisions and may contact you then. Please fill in all the details you can.
Completion of this form does not mean you have been accepted on to our waiting list.
If you are under the age of 55 we may not be able to allocate a home to you until you reach the age of 55.
Who is moving with you?
We will need to know details of all the other who will move with you.
(Not including yourself)
Make sure you enter all the details about the people you are moving with. If you do not enter those details they will not be considered when deciding how many bedrooms you will need.
What is their age?
What is their relationship to you?
Where do you want to live?
Equality & Diversity
For research purposes we would like to know about our customers. You do not need to answer any of the following questions for us to consider your application.
Please choose a category which best describes your household.
In order to deal with your enquiry we need to collect relevant personal details. We comply with the General Data Protection Regulations 2016 when dealing with this data and the information you have given will be processed in accordance with the law. Please note we may share personal data with other organisations where appropriate in line with our Fair Processing Notice
. Please tick the box below if you consent to this notice.