Express my interest

Express my interest

Thanks for your interest.

Please fill out this form to express your interest for Head Start Home's homeownership support which includes our Head Start Savings Plan.

First Name *

Last Name *

Email *

Phone Number *

Address

Suburb*

State*

Postcode*

Age*

Occupation*

Tell us a bit about you and your household*

Why do you want to own a home? *

Number of applicants*

If you were able to get a home loan how many adults would be applying?

Select

Age of applicant 2*

Occupation of applicant 2*

Total income before tax for all applicants (do not include Government payments or Superannuation)*

What is the total income all applicants earn each year from their job, dividends, bonuses, loadings, packaging or other Fringe Benefits – do not include government payments or super.

Does anyone in your household receive Centrelink or Government Assistance payments?*

What is the total of amount of government assistance you receive per fortnight*

Does anyone in your household have a health care card a pension Card?*

Do you receive rent assistance from Centrelink?*

Yes

Not Sure

How much rent assistance do you receive per fortnight?*

What type of housing do you live in?*

Select or enter value

What is the name of your community housing provider

What is the name of your tenancy manager

What is the email or phone number of your tenancy manager

What is the current total savings for all applicants?*

What is the total debts of all applicants?*

e.g. total credit card, overdraft limit, car loans, HECS and Afterpay

Have you ever owned a home before?*

Select

Do you currently own a home?*

Select

Is there anything else you'd like us to know?

Are you a single parent or caregiver?*

Yes

Not Sure

Do you or anyone in your household identify as Aboriginal or Torres Strait Islander?*

This includes your children or dependents

Yes

Not Sure

Do you or any other adult who is applying for HSH homeownership support identify as Aboriginal or Torres Strait Islander?*

(this does not include your and children dependants)

Select

Does anyone in your household have a disability?*

Yes

Not Sure

Is anyone in your household a refugee or migrant?*

Yes Refugee

Yes Migrant

Unsure

How did you hear about us?*

Select or enter value

By clicking submit I/we :

I/we have read Head Start Homes' eligibility criteria
I/we understand that terms conditions and eligibility criteria apply and (a) any support provided by Head Start Homes is at it's ultimate discretion and is conditional on their fundraising activities;
I/we understand that we will need demonstrate ongoing success on our Head Start Savings Plan before I/we can progress to the next stage in my/our homeownership journey.
Confirm that the information contained in the Expression form is true and correct; and
Consent to Head Start Homes contacting me; and
Authorise Head Start Homes to handle my personal information in accordance with the below Privacy Collection Notice and Head Start Homes' Privacy Policy which is available at www.headstarthomes.org.au or by clicking here.

YES I/we provide my/our consent*

Send me a copy of my responses

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