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Edward Mayes Trust has an estate of 48 properties at Mayes Garden in Ancoats, Manchester, and manages 21 properties in Bolton, Sale and Denton.

You can apply online today or get in touch to find out more.

Data Protection Statement: it is part of the Trusts responsibilities to ensure that applicants for its property are suitably qualified under the terms of the charity's governing document. The Trust therefore needs to investigate the personal circumstances of applications. The personal data supplied on this form and other information relating to the almshouse appointment and your housing support will be held on file. Some details may be checked with relevant organisations since the charity reserves the right to investigate and verify what you write on this form, but no details will be disclosed for any inappropriate purpose. You may have access to your personal information on request.

Please complete the form and be frank and open with us. We are asking the questions set out below so we can make sure we have the right information to help us decide whether our property will suit you and where we can give you the help and support you need. If you want any help filling out the application form or have any question please contact us on 0161 273 6611

ABOUT YOU

Yes No
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YOUR LOCATION

House Flat Maisonette Bungalow Bedsit

Renting from the council

Renting from a housing association

Owning / buying

Temporary accommodation

Bed and breakfast

Renting - private landlord

Renting with job

With family & friends

Mobile home

Hospital

YOUR NEEDS & PREFERENCES

Overcrowding

The property is too big for me

Health / medical

My landlord needs the property back

There are repairs problems

I have no permanent home

Relationship breakdown

Domestic violence

I have been legally evicted

My home is being repossessed

I have got financial difficulties

I am being discharged from an institution

Racial or other harassment

To be near family

I have no fixed address

Need for independence

Yes No
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Yes No
Yes No
Yes No
Yes No
Yes No
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Yes No

EQUAL OPPORTUNITIES

Black or Black British

African

Caribbean

Other

Asian or Asian British

Pakistani

Indian

Bangladeshi

Other

White

UK

Irish

Other

Mixed

White and Black Caribbean

White and Black African

White and Asian

Other

Chinese

Chinese

Other

Other

Any other

Yes No
Male? Female?
Heterosexual Gay/Lesbian Bi-sexual Question Refused

FINANCIAL ASSESSMENT

Yes No
Yes No

ALMOST THERE!

Declaration

I confirm that the information given above is correct and complete to the best of my knowledge and belief and agree to inform Edward Mayes Trust of any changes in the details given in this form.

I understand that if in answering the above, I knowingly or recklessly give false information or withhold information the Trust are entitled to terminate any appointment to an almshouse dwelling I may be given as a result of this application.

I accept that if I am appointed as a resident I shall be a beneficiary of the charity and not a tenant. Any weekly sum I pay will be a maintenance contribution and not rent.

I confirm I am able to look after myself and to live independently, with the assistance of family and carers if necessary.

I consent to my GP or other medical attendant providing the charity with a medical certificate or report abut my health and condition now or at a future date in accordance with the terms of the attached form of authority.

I consent to the charity holding personal data on this form in accordance with General Data Protection Regulations.

I agree that the charity may contact me by (please tick as appropriate)

E-Mail Post Telephone