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. About You
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.
(Required) Tell us why you want to leave your current home (Required) Your Family Who is moving with you?
We will need to know details of all the
other who will move with you. How many people are moving with you (Required) 0 1
(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.
Person 1 - Age (Required)
What is their age?
Person 1 - Relationship (Required) Partner Child Sibling Other
What is their relationship to you?
Where do you want to live? Please choose ALL the schemes you want to apply for. (Required) From the areas you have chosen which would be your first choice? (Required) Please choose an area Antilles Court Longsight Birch Court Longsight Bougainvillea Garden Longsight Daisy Bank Court Victoria Park (Rusholme) Sycamore Court Miles Platting Where do you wish to live where we do not have properties. (Required)
Click on the plus (+) to add more places.
How did you hear about Arawak Walton From the website Saw an advert Saw a sign board From a tenant Saw a poster Referred by another agency Someone told me At a local event Other 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. What is your ethnic origin? White - British White - Irish White - Other Black or Black British - Caribbean Black or Black British - African Black or Black British - Other Asian or Asian British - Indian Asian or Asian British - Pakistani Asian or Asian British - Bangladeshi Asian or Asian British - Other Chinese Mixed - White/Black Caribbean Mixed - White/Black African Mixed - White/Asian Mixed - Other Other Ethnic Group
Please choose a category which best describes your household.
Are you or any member of your family registered as disabled? Are you If you are employed what is your household's combined yearly salary (before tax)? Up to £15,000 £15,000-£24,999 £25,000-£35,000 Over £35,000 Do you receive any benefits? What is your sexuality?
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.
Fair Processing Notice (Required)