Application for Housing - New

If you want to chat with the team about anything before applying to our waiting list, then please do not hesitate to give us a call. We would be happy to go through the application form with you and any other questions you might have. You can reach us on 0113 2177707 or 01132 946868.

First Name

Last Name

Birth Date

Day

Month

Year

Phone Number

Canopy have properties in the below areas. Please tick ALL the areas which you are interested in (NB: if you do not tick the area, you will not be considered if a property becomes available in that area) *

Harehills

Beeston/Holbeck

Burley

Current Living Situation

Brief summary of current living sitation *

Total Number of people needing a house

Total number of Adults (18yrs +)

Total number of Children (under 18yrs)

Are you (or is anyone you know) associated with Canopy in any way? *

Yes

If yes, please state how... *

How did you hear about Canopy Housing?

Canopy have a self-help model, which means that before you become a tenant there is an opportunity to paint and decorate your own house, alongside a team of volunteers, choosing your own colours and furnishing. Canopy would like you to do at least 8 day

Yes

Not Sure

If you ticked 'No' or 'Not sure', please state why...

Thank you very much for taking the time to complete the application form. If you are not already registered with the council, we strongly recommend that you register. You can do this by visiting: www.leedshomes.org.uk/HouseholdRegistrationForm. Please note, we will keep you on Canopy's waiting list for 6 months. After 6 months, if you are still in need of housing you will need to re-apply via our website

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Application for Housing - New