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Applicant Details | South Lakes Housing

Applicant Details

Please complete the information below. This will be used to create your customer profile and to ensure that we are aware of your details and requirments when we contact you in future.

Overview

Number of Applicants

Number of other people in the household

Applicant 1

Status

Name

Gender

DOB

Mobile Number

Landline

Email Address

Contact Preference

Emergency Contact Name

Emergency Contact Number

Emergency Contact Type

Disabilities

Ethnicity

Nationality

National Insurance Num. (If Unkown Please State)

Employment Status

Is anyone in the household pregnant?

Any Sight, Hearing or Language Needs?

Has anyone in the household served in the Armed Services?

If anyone has served as a regular, did they leave in the last 5 years?

Has anyone in the household been seriously injured as a direct result of their time in the armed services?

Does anyone in the household use specialist equipment such as a mobility scooter, oxygen, or anything else?

What is the main reason for you leaving your last settled home?

Does anyone in the household require specialist access?

Is anyone in the household related to a SLH staff member?

Applicant 1

Status

Name

Gender

DOB

Mobile Number

Landline

Email Address

Contact Preference

Emergency Contact Name

Emergency Contact Number

Emergency Contact Type

Disabilities

Ethnicity

Nationality

National Insurance Num. (If Unknown Please State)

Employment Status

Is anyone in the household pregnant?

Any Sight, Hearing or Language Needs?

Has anyone in the household served in the Armed Services?

If anyone has served as a regular, did they leave in the last 5 years?

Has anyone in the household been seriously injured as a direct result of their time in the armed services?

Does anyone in the household use specialist equipment such as a mobility scooter, oxygen, or anything else?

What is the main reason for you leaving your last settled home?

Does anyone in the household require specialist access?

Is anyone in the household related to a SLH staff member?

Applicant 2

Relationship to Applicant 1

Status

Name

Gender

DOB

Mobile Number

Landline

Email Address

Contact Preference

Emergency Contact Name

Emergency Contact Number

Disabilities

Ethnicity

Nationality

National Insurance Number

Employment Status

Are you pregnant?

Any sight, hearing or language needs?

Household Member 1

Relationship to Applicant 1

Status

Name

Gender

DOB

Employment Status

Household Member 1

Relationship to Applicant 1

Status

Name

Gender

DOB

Employment Status

Household Member 2

Relationship to Applicant 1

Status

Name

Gender

DOB

Employment Status

Household Member 1

Relationship to Applicant 1

Status

Name

Gender

DOB

Employment Status

Household Member 2

Relationship to Applicant 1

Status

Name

Gender

DOB

Employment Status

Household Member 3

Relationship to Applicant 1

Status

Name

Gender

DOB

Employment Status

Household Member 1

Relationship to Applicant 1

Status

Name

Gender

DOB

Employment Status

Household Member 2

Relationship to Applicant 1

Status

Name

Gender

DOB

Employment Status

Household Member 3

Relationship to Applicant 1

Status

Name

Gender

DOB

Employment Status

Household Member 4

Relationship to Applicant 1

Status

Name

Gender

DOB

Employment Status

Household Member 1

Relationship to Applicant 1

Status

Name

Gender

DOB

Employment Status

Household Member 2

Relationship to Applicant 1

Status

Name

Gender

DOB

Employment Status

Household Member 3

Relationship to Applicant 1

Status

Name

Gender

DOB

Employment Status

Household Member 4

Relationship to Applicant 1

Status

Name

Gender

DOB

Employment Status

Household Member 5

Relationship to Applicant 1

Status

Name

Gender

DOB

Employment Status

Household Member 1

Relationship to Applicant 1

Status

Name

Gender

DOB

Employment Status

Household Member 2

Relationship to Applicant 1

Status

Name

Gender

DOB

Employment Status

Household Member 3

Relationship to Applicant 1

Status

Name

Gender

DOB

Employment Status

Household Member 4

Relationship to Applicant 1

Status

Name

Gender

DOB

Employment Status

Household Member 5

Relationship to Applicant 1

Status

Name

Gender

DOB

Employment Status

Household Member 6

Relationship to Applicant 1

Status

Name

Gender

DOB

Employment Status