Homebaked Community Land Trust Housing Application Form
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Full name *
Date of Birth *
Gender *
Relationship status *
Email address *
Mobile number *
Current address *
How long have you lived here? *
If less than 3 years, please give previous address: *
Do you have children who will live with you? *
Required
If yes, please give ages:
Do you have any pets? *
Required
If yes, what type?
Are you a smoker? *
Required
Please tell us about your current housing situation:
Are you living with family? *
Required
Are you living with friends? *
Required
Are you renting your property? *
Required
If yes, who is your landlord?
How long have you lived there?
How much rent do you pay?
Why are you interested in moving into a Homebaked CLT property?
 *
Are you involved in any community groups or other organisations? Please tell us what you do:
 *
Please tell us about your current employment situation:
Are you employed?
 *
Required
If yes, please give details below
(including company name, position, annual salary, start date, full/part time, permanent/temporary/contracted)
Are you self-employed?
 *
Required
If yes, please give details below
(including company name, start date, business type, annual income)
Are you unemployed?
 *
Required
If yes, please provide more information:
Is there anything else you want to tell us about your financial situation?
Is there anything else you want to share with us to support your application? You can tell us about any support needs here.
Please provide 2 references, for example an employer or landlord (including name, email, phone number and relationship to you)
Reference 1 *
Reference 2 *
Declaration

By submitting this form I confirm that the information provided by me is true to the best of my knowledge.  I consent to my information being verified by an external third party.


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