Site map | Guest Book  | Firebird Homes   Pay Rent Repairs Property Search MHA's Services Online Customer S'vce Tenant Empowerment Shared Ownership News BWSP Firebird Homes Visit Us Frequently Asked Questions   ONLINE HOUSING APPLICATION FORM Contact Details Name:    * Address:    * Telephone:    * Mobile: Email :    * Have you lived in your current address for five years Yes No Where do you want to live Town/City Post Code: No of Bedrooms select 1 2 3 4 5 6 Type of House:  Flat / Apartment  Detached  Semi-Detached  Terraced  Sheltered Accomodation Special Access Requirements: wheelchair adapted wheelchair newbuild Not Applicable Rent Min Rent/week      Max Rent/week      Buy Min Price     Max Price     Shared Ownership Min/rent per week      Max rent/week     Mutual Exchange YesNo What are your housing needs Number of people to be re-housed --select-- 1 2 3 4 5 6 7 8 9 10 Are you homeless YesNo Have you been asked to leave your home YesNo How many bedrooms are you and those to be re-housed with you living in Is anyone to be re-housed with you expecting a child YesNo Is this property in good condition. YesNo Do you have any health problems that are caused or affected by the condition of your current property. YesNo Do you have any rent arrears on this or another property YesNo Are you in arrears with your mortgage YesNo Are you at risk of having your home re-possessed YesNo Are you feeling violence or harassment YesNo Please give the contact details of any organisation that can support your claim (if none then state "none") Name: Address: Telephone: Email : Are you or anyone to be re-housed with you disabled YesNo How long have you lived in the UK - - - -select- - - - 1-2 Years 3-5 Years 5 Years or more How are you paying your rent Are you on full Housing Benefit YesNo Pro-social behaviour and Mutual Aid We require all our applicants to confirm that they will not engage in any anti-social behaviour. Have you or anyone to be re-housed with you been involved in any anti-social behaviour in the last five years YesNo We require all our applicants to confirm that they are willing to play their part in ensuring a stable and prosperous community. Are you willing to use your skills to ensure a stable and prosperous community YesNo Economic Need and Family/Community Support Are you seeking to be re-housed because you are changing your job and need to live nearer YesNo Are you seeking to be re-housed because you cannot afford your current rent or mortgage YesNo Are you seeking to be re-housed in order to be nearer your family/cultural centre/place of worship YesNo Are you seeking to be re-housed because you need to support vulnerable family members / to receive support yourself YesNo Verification of Application details We will contact relevant agencies to verify the details of your application. Do you give us your consent here YesNo We will arrange to visit you at home, before we offer you any of our properties, to check some of your claims and to offer you pre-tenancy advice. Do you agree to this YesNo References We need to take references from your current landlord or mortgage lender and anyone who knows you personally, please give details: 1. Name: Address: Telephone: Email : 2. Name: Address: Telephone: Email : Confirmation of Application Details Can you confirm that the details you have given on this form are true to the best of your knowledge YesNo Thank you for applying on line for re-housing with Manningham Housing. Please click on Submit to register your application    * means required   Low Cost Home Ownership Programme     Services Available on Our Site     Ruby Bhatti Elected Chairmain of MHA     Azeem Malik elected Vice-Chairmain of MHA   2007 © Manningham Housing Association Created by WSI Home    |    Policies   |   About Us   |   Our Performance   |   Contact Us   |   Resources   |       Job Opportunities