Name: Maiden name: Current address
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St Martin’s Housing Association
Affordable home application Name:……………………………………………………..Maiden name:……………………………... Current address:……………………………………………………………………………….………… …………………………………………………………………………Post code:………………………. Telephone no::………………………………Mobile:…………………………………………………... Age group: (circle) Under 18 18-25 26-35 36-45 46-55 56-65 65+ Household size: Single:…..…………....Couple:………………...Number of children:…………………………………. General: Are you Jersey born:…………Do you have residential qualifications:………………………………. Do you or your wife / husband / partner already own a home in Jersey or elsewhere................... Brief details of accommodation you currently occupy:………………………………………………… ………………………………………………………………………………………………………………. How long have you been seeking a home:.................................................... Have you previously applied to be placed on a St Martin’s housing list:........................................ If yes, what date:……………………..Were you offered the chance to purchase…......................... Are you currently on the Andium (former Housing Department) waiting list................................... If yes, how long have you been on that list.................................................................................... Are you on any other Housing Trust waiting list.............................................................................. If yes, how long have you been on that / those lists....................................................................... Indicate the maximum deposit you think you would be able to find:…………………………………. Please indicate any connections you have with the Parish of St Martin (ie; family / work / school / etc) ………………………………………………………………………………………………………………. ………………………………………………………………………………………………………………. ………………………………………………………………………………………………………………. ………………………………………………………………………………………………………………. ………………………………………………………………………………………………………………. ………………………………………………………………………………………………………………. ………………………………………………………………………………………………………………. (please feel free to submit a separate letter to Constable if you think that would be useful). Why do you want to live in the Parish of St Martin:....................................................... ………………………………………………………………………………………………………………. ………………………………………………………………………………………………………………. ………………………………………………………………………………………………………………. ………………………………………………………………………………………………………………. ………………………………………………………………………………………………………………. ……………………………………………(a separate, private letter to Constable might be useful).
Any other information you think useful:…………………………………………………………… ………………………………………………………………………………………………………………. ………………………………………………………………………………………………………………. ………………………………………………………………………………………………………………. ……………………………………………(a separate, private letter to Constable would be useful). Information contained on this application form will be kept confidential and made available to the Chairman of the St Martin’s Housing Association (the Connétable) and members of the St Martin’s Housing Association. Further enquiries may have to follow with relevant departments at a later date but would be subject to discussion with the applicant |