Expression of interest

First name:
Last name:
Date of birth:
Email address:
Contact phone number:

Are you currently a home owner?

We will not accept any applications from home owners as this is an affordable housing scheme.

YesNo

Do you currently live, work or intend to work in Stirchley or have family/friends in the area?

We will prioritise applications from those with a local connection.

YesNo

Are you interested in contributing positively to the surrounding area?YesNo

Do you currently own a car or other vehicle that is not required due to a disability?

There will be no parking available in the development. Disabled street parking can be accessed if required.

YesNo

Do you understand that there will be no Right to Buy on any properties in the Stirchley Cooperative Development?YesNo

Do you have a willingness/desire to learn about cooperative living?YesNo

Will you be able to commit some time to the running of the project?

We expect all members to contribute a few hours each month to assist with the running of the cooperative. We will be able to send you more information about this in our membership pack which will be sent to you upon receipt of this expression of interest.

YesNo

The application will be via an online form. If you need a paper copy please provide a postal address below:

House number/street name:
Town/city:
County:
Postcode: