Anyone can apply for a mid-market rent property but we will take into account your employment status, household income and household size when considering your priority. If you are successful you must occupy the property as your only, or principle home. If you are invited to interview you will be asked to provide evidence of your income please do not submit these with your application.
We will use the information you give in this form, and in any supporting evidence you send us, to process your application for housing. We may pass the information provided to other agencies or organisations as allowed by the law.
Ore Valley is an equal opportunities organisation and ensures equality of treatment for all customers without discrimination or prejudice based on a persons’ gender, sexual orientation, race, ethnic origin, nationality, religion, age, disability or illness. We will always seek to follow best practice in order to ensure that the above group needs are understood and implemented.
Date of birth
Time at current address
Current housing status
Living with parents
Living with friends
Living with other family members
Name of landlord
Time at previous address
Name of landlord at previous address (if applicable)
Contact telephone number
Preferred contact method
Full time employment
Part time employment
Please detail your income
Are you in receipt of any benefits?
Please detail which benefits you are in receipt of and how much you receive
Is this a joint application?
Relationship to main applicant
Please indicate which area and property type you are interested in:
Please tick all that apply to your current circumstances:
Has anyone ever taken action against you or anyone else on your application for anti-social behaviour? This includes written warnings, court action, previous evictions and anti-social behaviour orders.
Please give the full name of the person(s) against action was taken
Do you or anybody you are applying with have to register with the Police under the Sex Offenders Act 1997 and/or the Sexual Offences Act 2003?
Are there any conditions or limits on your permission or that of someone living with you to enter or stay in the UK?
Are you or anyone in your household related to any Ore Valley staff or board members?
N.B. permission has to be sought for us to offer a tenancy to employees, committee members or their close relatives.
I/We declare that to the best of our knowledge and belief, all the information given by me/us on this application is true. I/We understand that should I/We give false or misleading information my/our application may be cancelled and any offer already made in relation to this false information may be withdrawn. I/We have no objection to this information being verified and I/We undertake to notify you of any changes which may affect my/our application.
NB: Typing out your name in the box below will act as a declaration to the above.
Main applicant signature
Joint applicant signature
© 2019 Ore Valley Housing Association