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Application form for a room/flat at one of our great projects.

Just some seven basic details about you to start with.

If you are under 18 yrs old please contact your social worker to refer you to one of our young people projects.

Salutation

First Name

Last Name

Best way to contact you?

Phone Number

Please read One YMCA's Data Protection and Privacy Policy to see how we handle your data.

Please select the town project you want to apply for:

Today's date (dd/mm/yyyy)

For our other projects please contact the following:

Stevenage area - Stevenage Council at https://www.stevenage.gov.uk/contact-us
Bishops Stortford area - Herts Young Homeless at https://www.hyh.org.uk/need-help
High Wycombe area - Buckinghamshire council

They should also be able to provide you with information about emergency accommodation.

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Personal details

It would be great if you could provide these 14 details (it would speed up the application process).

Date of Birth (dd/mm/yyyy)

Do you have a National Insurance number?

National Insurance number must be 2 uppercase letters, then any 6 numbers, then letter A-D uppercase e.g. DH123456A. If there is an error message please check again your number, otherwise choose No and bypass this question.

My gender is

I identify as

My immigration status (if applicable)

My sexual orientation

My religion

My ethnic origin

A few more questions ...

What would you describe your main support needs are?

Do you have any additional support needs in addition to the above?

Cannot be the same as above

What is your income?

Do you have a disability?

Where is you local connection area?

Are you an ex-armed forces personnel?

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Personal circumstances

In this page you can tell us about why you are looking for accommodation and the reasons why. This is to ensure we can provide you with the appropriate level of support.

Don't worry if some answers do not describe your personal circumstances, you can discuss these with a member of staff at your appointment with us.

These are the last six questions of this form.

What is the main reason for applying to our projects?

What type of accommodation was your last/current one?

Reason for leaving you current accommodation?

Who referred you to our project?

Agency name

Agency Worker's full name

Their phone number

And their email address

Which County Council area are you currently or recently stayed?

And in which town/city's borough council are you currently/recently staying? If your option is not there, please choose the closest one.

Part of our application process is to have a risk assessment for all applicants based on the information they provide and information from other agencies. This could be from social services, police, mental health teams or any other organisation you might be receiving support from. This can be discussed at the meeting you will have with a member of staff.

If yes, please tick this box

All questions now finished. Click the Next Page to read some important information before submitting.

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Thank you

Thank you for completing this quick form. When you submit this form:

Staff will invite you for an assessment in person.
At the assessment our staff will inform you of the availability of rooms/flats, how much is the rent and what help you can get if you are unable to pay the full rent charge.
Staff might ask you to provide additional information in regards with your source of income (i.e screenshots of your universal credit claim payments or payslips from your employer) or if you are engaging with support agencies provide copies of care plans, risk assessments if needed.
It usually takes us 2-5 days to make a decision when we have all the information provided and sometimes on the same day.

If you need emergency accommodation please contact your local council who will give you more information of what emergency accommodation is available in your area.

When you click "Review and submit application" you will have the option to read through all your answers and if you wish you can edit them or print them for your records.

If you get an error message that this is a duplicate record please contact a member of staff at one of our projects as you already or someone else has made an application on your behalf or you might have been staying in our projects in the past.

Contact Information
Data Protection and Privacy