Shared Housing 
      Application Form -
      Cordale and 
      Caledonia Housing
      Associations
         Name:                                                                     167 Main Street
                                                                                              Renton
                                                                                            G82 4PF
         Address:                                                           West Dunbartonshire
                                                                                    0800 678 1228
                                                                   info@cordalehousing.org.uk 
                                                                        info@caledoniaha.co.uk
                                                                    www.cordalehousing.org.uk
                                                                         www.caledoniaha.co.uk
      This shared application form should be used to apply for housing with Cordale and
      Caledonia Housing Associations. Please read the guidance notes on page 1 of this
      form carefully before completing this application.
      Verification Documents
      Please supply the following:
        Proof of identity – birth certificates, passports or driving licences for you and           
        everyone who is moving with you.
        Proof that you live at your stated current address – copy of a utility bill or              
        council tax notice
        Proof that your children live with you permanently – proof that you are in
        receipt of child benefit or child tax credits.                                              
      Office Use Only
        Date Received:
        Reference Number:
         Cordale and Caledonia Housing Association
         Housing Application Form
         Guidance Notes:
         We cannot process your application without all supporting information. Supporting 
         information required includes photographic identity and proof of residency. (We can copy
         your original documents for you at this office and return them to you immediately).
              Please complete this form in ink using capital letters.
              Where a yes/no answer is required, please put a tick () in the appropriate box.
              Please read the questions carefully and answer all the questions that apply to you. If 
               you do not fill in the form properly or give us all the information we need, we will 
               need to return it to you and this will delay your application.
              Once you are on the housing list, we will write to or email you to give you a reference
               number, a note of your points and your current position on the housing list.
              Please keep us informed of any changes in your circumstances (such as a change
               of address, or additions to your household), as this may affect the amount of points
               you will be awarded.
         If you would like assistance to complete this form or you would like to request this 
         information in another language, large print or in audio format just get in touch. We are 
         here to help. Contact us:
                 In writing or at the office:       167 Main Street, Renton, G82 4PF
                 By telephone:                      0800 678 1228
                 By email:                          info@cordalehousing.org.uk 
                                                    info@caledoniaha.co.uk
         Declaration:
         Please read the declaration at the end of this form carefully and then sign it. If it is a 
         joint application, both applicants need to sign. This form should then be sent to our 
         office at the address above. Please ensure that you have included all copies of the 
         relevant supporting information we have asked for.
         Data Protection Act 2018:
         All the information you provide on this form will be placed on our Housing 
         Association’s allocations system and handled in accordance with our privacy policy 
         published here:  click here    . You have a right to see information kept on file about your
         application and ask for any inaccurate information to be removed.
                                                                                                 1 | P a g e
       Section 1:  Your Details
        Do you wish to apply for a Joint Tenancy?               Yes          No
                                         Applicant                Joint Applicant
        Title:                       Mr  Mrs  Miss  Ms       Mr  Mrs  Miss  Ms
        First Name:
        Surname:
        Date of Birth:
        Gender:                         Male   Female             Male    Female
        National Insurance No:
        Relationship to                      SELF
        Applicant:
        Address:
        Postcode:
        Date moved to
        address:
        Telephone Number:
        Mobile Number:
        Email Address:
        Contact Address:
        (if different from
        above)
        Postcode:
        Preferred Method of        Letter  Email  Telephone  Text Message
        Contact:
        If you have never held a tenancy before or had a 
        home of your own, would you like to have a chat with    Yes          No
        one of our staff members to advise what is involved?
       If yes, one of our staff members will be in touch with you to arrange a suitable appointment
       Section 2:  Other people to be re-housed with you
       Please give details of everyone who lives in your current house:
        Full Name:
        Date of Birth:
        National Insurance No:
        Relationship to you:
        To be re-housed with you:           Yes    No                Yes    No
        Full Name:
        Date of Birth:
        National Insurance No:
        Relationship to you:
        To be re-housed with you:           Yes    No                Yes    No
        Full Name:
        Date of Birth:
        National Insurance No:
        Relationship to you:
        To be re-housed with you:           Yes    No                Yes    No
       Please provide details of anyone who does not currently reside with you but you would like 
       to be re-housed with you. Please also let us know why they are not living with you and their
       current address:
        Full Name:
        Date of Birth:
        National Insurance No:
        Relationship to you:
        Current Address:
        Reason for not residing:
        Full Name:
        Date of Birth:
        National Insurance No:
        Relationship to you:
        Current Address
        Reason for not residing:
       If anyone on your application is pregnant, what is their name and when is their baby due?
                               Name                                    Due Date
       Please provide proof of pregnancy and expected delivery date