Housing Application Form

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HOUSING APPLICATION FORM

Please complete the application form as fully as possible to allow us to give your application proper consideration.

Please refer to our Applying for a Knowes Tenancy leaflet by clicking here.

If you have had a tenancy in the last 5 years, a tenancy reference will be requested from the landlord.

If you require this form in a different format please let us know.

If you have any difficulty reading or writing or are visually impaired or need help in completing the form, please contact us and a member of staff will be pleased to give you advice and assistance.

All applications will be treated confidentially and fairly.

Please note that all applicants are required to provide one form of identification, ideally Photo ID, otherwise we will be unable to process your application.

PLEASE NOTE THIS APPLICATION MAY TAKE ON AVERAGE 20 MINUTES TO COMPLETE. YOU WILL NOT BE ABLE TO SAVE AND RETURN TO THE FORM, IT MUST BE COMPLETED AND SUBMITTED.

How did you hear about us? (required)

Main Applicant Title (required)

Main Applicant First Name (required)

Main Applicant

Main Applicant Surname (required)

Main Applicant Address (required)

Telephone Number (required)

Email Address (required)

Main Applicant Date of Birth dd/mm/yyyy (required)

Main Applicant National Insurance Number (required)

Joint Applicant

Joint Applicant Title

Joint Applicant First Name

Joint Applicant Surname

Joint Applicant Address

Joint Applicant Telephone Number

Joint Applicant Email Address

Joint Applicant Date of Birth dd/mm/yyyy

Joint Applicant National Insurance Number

Relationship between Main and Joint applicant

If you do not want any mail sent to the above address, please tell us where you want it sent to:

Is any person included in this application related to any current committee members or staff of Knowes HA? (required)

If yes, please provide details:

Household Details

Please detail everyone who will be moving with you should you be offered accommodation. Begin with your own details.

Title

Full Name (required)

Gender (required)

Date of Birth dd/mm/yyyy (required)

Relationship to Applicant (required)

Title

Full Name

Gender

Date of Birth dd/mm/yyyy

Relationship to Applicant

Title

Full Name

Gender

Date of Birth dd/mm/yyyy

Relationship to Applicant

Title

Full Name

Gender

Date of Birth dd/mm/yyyy

Relationship to Applicant

Title

Full Name

Gender

Date of Birth dd/mm/yyyy

Relationship to Applicant

Title

Full Name

Gender

Date of Birth dd/mm/yyyy

Relationship to Applicant

Title

Full Name

Gender

Date of Birth dd/mm/yyyy

Relationship to Applicant

Title

Full Name

Gender

Date of Birth dd/mm/yyyy

Relationship to Applicant

Title

Full Name

Gender

Date of Birth dd/mm/yyyy

Relationship to Applicant

Title

Full Name

Gender

Date of Birth dd/mm/yyyy

Relationship to Applicant

If you have children included do they live with you all the time?

If no, how often do they stay?

If any member of your household is expecting a baby please tell us When the baby is due

YOUR ELIGIBILITY FOR HOUSING

If you or any joint applicant have come to the UK from abroad, we are required, under the Housing (Scotland) Act 2001 and the Asylum and Immigration Act 1999, to establish the following:

Are you or any members of your household subject to immigration control? (required)

Are there conditions or limits to the leave to remain in the UK? (required)

If yes, please give details

PREVIOUS CONDUCT

Have you or any members of your household, including, visitors, been subject to any Court Action relating to anti-social behaviour at your current or previous address? (required)

If yes, please give details

POLICE REGISTRATION

Are you or any members of your household required to register with the Police? (required)

SECTION 3 – DETAILS OF CURRENT ACCOMMODATION

Please provide us with details of your current accommodation:

Tenure (required)

If other please specify (ie. bedsit, temporary homeless accommodation)

How many bedrooms does your current accommodation have? (required)

If you are sharing facilities, please give us details of who you are sharing the facilities with:

If you are a tenant, please tell us the name and address of your landlord:

Would you consider an extra bedroom? Please refer to our Bedroom Tax leaflet for information before you make this choice (required)

Does your accommodation have the following available for your use? Required

Inside toilet

Hot water

Shower or bath

Kitchen facilities

Any person who considers themselves to be homeless or threatened with homelessness should contact the Homeless Section at their local authority. The Association has an Agreement with West Dunbartonshire and East Dunbartonshire Council’s which means that referrals made by them are given priority for urgent rehousing.

Do you consider yourself to be homeless? (required)

SECTION 4 – PREVIOUS ACCOMMODATION

Please give details of your previous accommodation for the last 5 years, starting with your present accommodation:

MAIN APPLICANT

Property Address (required)

Tenure (required)

From (required)

To (required)

If you are a tenant, name and address of your landlord:

Reason for wishing to leave:

PREVIOUS ACCOMMODATION 2

Property Address

Tenure

From

If you were a tenant, please tell us the name and address of your landlord:

Reason for leaving:

PREVIOUS ACCOMMODATION 3

Property Address

Tenure

From

If you were a tenant, please tell us the name and address of your landlord:

Reason for leaving:

PREVIOUS ACCOMMODATION 4

Property Address

Tenure

From

If you were a tenant, please tell us the name and address of your landlord:

Reason for leaving:

IF THIS IS A JOINT APPLICATION, PLEASE NOTE THAT PREVIOUS ADDRESSES ARE ALSO REQUIRED FOR THE JOINT APPLICANT

JOINT APPLICANT

Property Address

Tenure

From

If you are a tenant, please tell us the name and address of your landlord:

Reason for wishing to leave:

PREVIOUS ACCOMMODATION 2

Previous Address

Tenure

From

If you were a tenant, please tell us the name and address of your landlord:

Reason for leaving:

PREVIOUS ACCOMMODATION 3

Property Address

Tenure

Reason for leaving:

From

If you were a tenant, please tell us the name and address of your landlord:

PREVIOUS ACCOMMODATION 4

Property Address

Tenure

Reason for leaving:

From

If you were a tenant, please tell us the name and address of your landlord:

SECTION 5 – YOUR HOUSING PREFERENCE

It is difficult to judge how long you will have to wait for an offer, as this depends on the number of properties available and your own housing need. Please note that if you only wish to be considered for a house/cottage type or a cottage flat, you will have a considerable length of time to wait, as turnover of these types of properties are extremely low. It is mostly tenement flats that are available. Please consider this when making your choices.

Type of housing you would consider Required

House /Cottage

Tenement Flat

Upper Cottage Flat

Lower Cottage Flat

The floor level that you would consider Required

Any Floor Level

Ground Floor Only

Ground or First Floor

Not Ground Floor

Choose the streets you would accept for your chosen house types

The Association has also acquired several properties outwith the Faifley area.

Would you like to be considered for one of these properties, if available? (required)

Please state if you have any other needs in relation to the type of property you require.

If you, or anyone in your household, has a longstanding and serious medical condition, which is being made worse by your housing situation, please complete our Medical Assessment Form.

SECTION 7 – SOCIAL POINTS

Social Points will be considered when an applicant needs to move for reasons other than when the property that they are currently in is not suitable for their needs. There are situations where an individual or family seek alternative accommodation due to social reasons, such as a victim of crime, serious harassment, domestic violence, martial/relationship breakdown where a Management Transfer will not be possible, or to provide support to a family member or relative. If your circumstances relate to any of the above or if you are experiencing other issues which mean your current property is no longer suitable, please outline these below to see whether you will be considered for social points.

(there is a separate form that will need to be completed if you wish to apply for Social Points)

SECTION 8 – OTHER RELEVANT DETAILS

The Association has a Nominations Agreement with East and West Dunbartonshire Councils which means that some of our vacant properties are offered to them for nomination. It is recommended that you also apply to the local authority if you have not already done so.

If there is anything else you think we should know about regarding your application or housing preference, please provide details below.

SECTION 9 - DECLARATION STATEMENT AND MANDATE

I declare that to the best of my knowledge and belief, all of the information given by me on this application is true. I agree to notify you in writing of any change to the information given by me, as this may affect my position on the waiting list. I understand that any false information given or relevant information withheld now or at any time may result in any tenancy granted being terminated or my application being cancelled or suspended. I hereby give permission for Knowes Housing Association to make any enquiries regarding any current or former tenancies I have held, and any other information which needs verified. I also give permission for Knowes Housing Association to keep the details outlined in this application on record until my application is no longer valid. Our GDPR Fair Processing Notice is outlined on our website, www.knowes.org, and it explains what information we collect, when we will collect it and how we use this. I understand that the information I have provided will be treated as confidential. General Data Protection Regulations cover the information I have provided. Knowes Housing Association will not discuss this information with any third party unless I have given written permission to do so.

Do you agree with the declaration statement and mandate above? (required)

Main Applicant - Please type name to confirm (required)

Joint Applicant - Please type name to confirm

Any applicant or tenant who feels aggrieved by their treatment under this Policy can ask for a copy of the Association’s Complaints Policy, which is available at the Associations office. Applicants and tenants also have a right to complain to the Public Services Ombudsman. The Complaints Policy details the way in which Tenants can complain and the timescales for responding. Please check your form to ensure you have completed it property, before pressing submit.

EQUAL OPPORTUNITIES MONITORING FORM

Knowes Housing Association Ltd is committed to tackling discrimination on the grounds of sex or marital status, racial grounds, or grounds of disability, age, sexual orientation, language, social origin, or of other personal attributes, including beliefs or opinions, such as religious beliefs or political opinions. Knowes seek to embrace diversity, promote equal opportunities for all and eliminate any unlawful discrimination in all areas of our work. We would require consent from the applicant and joint applicant to hold this information on file under GDPR legislation. We would appreciate your assistance by completing the following questions. However, if you do not answer these questions it will not affect your housing application. I hereby give explicit consent to Knowes Housing Association to hold the following information on file.

Main Applicant - Please type name to confirm

Joint Applicant - Please type name to confirm