Property Application

Property Application
Landlord Contact
Property Address

Address

Street Address Line 2
Full Name *
In order to respond to your enquiry we need a way to contact you. Please enter your best contact email and/or phone number. Only one form of contact is necessary, but both is best.
Best Contact Number
This may be the number of a support worker, a friend, a relative or your work number.
Best Contact Email
This may be the email of a support worker, a friend, a relative or your work email.
Tick all boxes that apply to you or your household: *

Couple Individual With children Have pets 55+ years of age 18 years old or younger Living with disability Aboriginal and/or Torres Strait Islander Mental health recovery Refugee or resettlement Veteran LGBTQ+ Struggling to pay current rent Currently experiencing homelessness Escaping family or domestic violence/abuse Due to be discharged from prison, hospital or other institution Need to be closer to work or school/university/TAFE Need to be closer to health services and/or networks Need to be closer to family, friends, community networks, etc.
Do you have an NDIS plan or funding? *

Yes No I've applied I don't know
Are you eligible for Specialist Disability Accommodation (SDA)? *

Yes No I've applied I don't know
Do you currently access any support services? *

Yes No I've applied I don't know
Have you applied for any government waitlists? *

Yes No I don't know
Which government waitlists have you applied for?
If you have applied for more than one waitlist, seperate with a comma.
Where did you hear about Home Hub? *

Local area coordinator Support worker Family or friends Flyer or poster Facebook Google search LinkedIn
Please note that preference may be given to those on the government waitlist. If you aren't registered, you can find the application for the Housing waitlist here.
Privacy
Hygge Community Life and its Home Hub initiative collect data to better understand housing needs.

Your personal information is kept private and de-identified on our secure server and will never be shared with third parties except the organisation that manages a property you enquire about.

If you have any questions or concerns, you can contact us at info@homehub.org.au.
Privacy *

I understand and agree to my information being collected and stored securely by Hygge Communtiy Life and Home Hub.
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Property Application

Privacy