Contour Application for Housing.qxd:Layout 1 - Contour Homes

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Creating settled communities - MAIN APPLICANT YOUR APPLICATION WILL ONLY BE PROCESSED IF YOU SUPPLY ALL INFORMATION REQUESTED ON THIS FORM We need to know where you have been living for the past three years and we need a reference from your current and previous landlords. If you have not held a tenancy then we will need a reference from the personnel department of your current employer or a school/college tutor. You must have been in their employment or known this person for more than three months. If you are applying for sheltered housing and have not held a tenancy and are not working please give details of someone to provide a character reference e.g. the secretary of a club or society you may belong to. If you are not sure who to use please contact your local Contour office. Current Address Who is the Landlord Address Date moved in: Date moved out: Postcode Tel No. Postcode Did you owe any arrears of rent or mortgage? Was the property rented? Yes No Yes No If yes, how much? Previous Address Who was the Landlord Address Postcode Postcode Date moved in: Date moved out: Was the property rented? Yes No Tel No. Did you owe any arrears of rent or mortgage? Yes No If yes, how much? Who was the Landlord Address Postcode Postcode Date moved in: Date moved out: Was the property rented? Yes No Tel No. Did you owe any arrears of rent or mortgage? Yes No If yes, how much? 6
Employment/Education Details Current Employer / School or College Tutor Name Address Contact name Postcode For reference purposes Telephone Period of employment Position held Fax Character Reference If you have not held a tenancy please give details of somebody else we could contact Name & Address How long have you known this person? Postcode Declarations Have you or a member of your household been charged with or convicted of, committing a serious offence that has not yet been spent? Yes No Criminal Convictions Do you or any member of your household have any unspent* criminal convictions, court orders or have been the subject of an Antisocial Behaviour Order? Or has legal action been started against you because of Antisocial Behaviour, criminal convictions or court orders? If the answer to any of these questions is yes, please state the person and the date. Name of Offender Date of conviction Offence Details of sentence * Under the rehabilitation of Offenders Act 1974 after a certain period of time all convictions (except those listed below) become spent. The length of time between the date of conviction and the date it becomes spent depends upon the nature of the sentence imposed, the age of the offender at the date of conviction and can be extended by subsequent convictions. Once convictions are spent they need not to be disclosed for the purpose of a housing application. Convictions which can never become spent are those which sentence of life imprisonment or a sentence of over 2 1/2 years imprisonment or detention of youth custody or corrective training was imposed. I authorise Contour Homes to make whatever enquiries are necessary before they can confirm acceptance on to a waiting list. Signed Antisocial Behaviour/Nuisance Have complaints ever been made about you or a member of your household’s behaviour? Yes No If yes please give details: 7
Page 1 and 2: Application for Housing Please retu
Page 3 and 4: Equal Opportunity You Faith Joint A
Page 5: What links do you have with the are
Page 9 and 10: Employment/Education Details Curren
Page 11 and 12: Relationship to staff or committee

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