Apply for a home

Tell us about yourself and we’ll be in touch — usually within a couple of working days. Answer honestly; things like a past conviction or being in recovery don’t automatically rule you out.

Everything you share is confidential and only used to assess your application, as set out in our privacy notice.

About you

First name *

Last name *

Date of birth *

Gender

National Insurance number

e.g. QQ 12 34 56 C

Mobile number *

Email *

Which home are you applying for? *

Anything about the room/home you need

e.g. ground floor, near town

Your current situation

Where are you living now? *

Current address (or last settled address)

Have you spent 3 months or more in temporary accommodation at ANY point in your life (not just now)?

This matters for under-35s — 3+ months in temporary accommodation at any time in your life counts. If yes, please list every place below.

Why are you leaving your current accommodation?

Renting history

Do you have any rent arrears from a previous home?

YesNo

Have you ever been evicted or had a possession order?

YesNo

Previous landlord or agent (name)

Their phone or email (for a reference)

Are you happy for us to contact them?

YesNo

Offending history

A criminal record does not automatically exclude you. We ask so we can house people safely.

Any unspent convictions?

YesNo

Are you working with probation?

YesNo

Next of kin

Next of kin — name

Next of kin — relationship

Next of kin — phone

Next of kin — email

Anything else you want us to know?

Before you send it

I confirm the information I have given is true and complete, and I understand that Gower Living may verify it (including references and, where relevant, probation or support services).I consent to Gower Capital Group Ltd processing this information — including health and offending information — to assess my application and support my tenancy, as set out in the privacy notice.

Stuck on anything? Leave it blank and send it anyway — we’d rather hear from you than not.

About you

Your current situation

Benefits & income

Renting history

Health & support

Offending history

Next of kin

Before you send it