Application to be considered for housing

Completion of this application form does not guarantee a place on the waiting list or a tenancy of a property.

The Society operates an equal opportunities policy and no adverse consideration will be given to sex, sexual orientation, race, or religion of the applicant.

We will hold your details on record in accordance with the General Data Protection Regulation. We do not share information with third parties and any information held is solely for the use and information of our organisation.

Enter your full names *

Phone Number *

Enter your current address *

Time at current address *

Is your current address *

A house/bungalow/flat

Shared accommodation

Sheltered housing

How many bedrooms at your current address *

Please detail any pets you have *

Do you have any medical conditions? *

Are you registered on any other housing waiting list? *

How long have you been a permanent resident in the local area? *

Are you currently housed by any housing association or local authority? *

Please give details of yourself and any family who will be living with you

Name

Date of birth

Name

Date of birth

Name

Date of birth

Name

Date of birth

Please supply the names and addresses of two people who will be willing to give you a reference, in particular a current employer and current landlord

Name

Address

Name

Address

(THESE REFERNCES WILL NOT BE TAKEN UP UNTIL AN OFFER OF A PROPERTY IS MADE TO YOU)

Please give details of your current housing situation and details as to why you require housing with St Michael Housing Society *

Phone

St Michael Housing SocietyQuality housing in West Cornwall – providing more than just a place to live.

Application to be considered for housing

Please give details of yourself and any family who will be living with you

Please supply the names and addresses of two people who will be willing to give you a reference, in particular a current employer and current landlord

(THESE REFERNCES WILL NOT BE TAKEN UP UNTIL AN OFFER OF A PROPERTY IS MADE TO YOU)