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

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:
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