Tenant Application

Please complete the form below to apply for accommodation with us. The information you provide will help us understand your housing needs and match you with a suitable property. We keep all your details secure and use them only for application and support purposes.

Name *

Email *

Mobile Number *

Date of Birth *

National Insurance Number *

Gender *

Male
Female
Trans Man
Trans Woman
Non-Binary
Prefer Not to Say

You Suitable With

Your Current Address *

Type of Support Required *

Mental Health
Drugs Use
Alcohol
Physical Health
Autism
Other

Are You Currently Claiming Any Benefits? *

Which Areas or Postcodes in Birmingham Would You Consider? *

Preferred HMO Size* *

2 Bedroom
3 Bedroom
4 Bedroom
5 Bedroom
6 Bedroom
Any

All properties are shared HMOs. We do not offer single-bedroom flats. Two- and three-bedroom units are limited and may not always be available.

Who do you currently live with or rent from? *

Are You Applying Alone or With Others? *

Just Myself
Applying with Friends / Partner / Relative(s)

Can Sure Start Housing Contact You When a Suitable Room Becomes Available? *

I Agree to Safe Data Use *

I Agree

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Get in touch

Birmingham St,
NY 11223, United Kingdom
+44 123-456-7890
info@surestarthousing.co.uk