Basic Eligibility Form

Personal Information

Title *
-MrsMrMissMs

First name *

Last name *

Your email *

Address 1 *

Address 2

Postcode *

Contact phone number *

Mobile

How did you hear about us? *
-Search engineAdvertisingAnother websiteWord of mouthOther (please specify)

Other (please specify)

Financial Information

Can you obtain £3,500 to cover costs of purchasing? *
Yes
No

Are you an EU or UK National or do you have indefinite leave to remain? *
Yes
No

Are you unemployed? *
Yes
No

Are you self employed? *
Yes
No

If you answered yes to Q12, can you provide two years of accounts? *
Yes
No

Are you an existing shared owner? *
Yes
No

Housing Information

What is your current housing status? *
-RSL tenantCouncil tenantOn Council waiting listRenting privatelyLiving with family or friendsOther (please specify)

Other

Are you a keyworker? *
-NoLocal Authority Occupational TherapistLocal Authority PlannerLocal Authority Social WorkerLocal Authority Speech and Language TherapistNHS Medical or Clinical StaffPolice Officers or Civilian Police StaffPrison OfficerProbation OfficerQuallified Teacher within Public SectorOther (please specify)

Other

If you are a keyworker, is your household income less than £60,000 per year? *
Yes
No

How many bedrooms do you need? *
OneTwoThree

Which Gateway Home Ownership Scheme are you applying for? *
-New Build HomebuyResalesRight to Acquire(RTA)Right to Buy(RTB)Open Markey Homebuy

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