Hastoe Housing Association Limited - Housing Interest Form

First name:
Last name:
Address 1:
Town/City:
Post Code:
Tel (Home):
Tel (Work):

How many persons will be sharing accommodation with you?
Adults:
Daughter(s): Age:
Son(s): Age:

How many bedrooms do you require?

Which estate or area are you applying for?

What are your connections with the area?

Can you briefly state why you need to move?

This is not an application form and completion of this form does not constitute a commitment by either party.

Personal information supplied by you will be held and used in accordance with the Data Protection Act 1998.