Te Tāpui Atawhai ā Whare (ACMHL) Housing Application Form


This application form is for permanent housing residential tenancy with Auckland City Mission Housing Ltd (ACMHL). If you require assistance to complete this form, please contact ACMHL.


Before completing this application, please ensure that you meet the following eligibility criteria:

  1. An adult >18 years of age
  2. A New Zealand citizen or a permanent resident of New Zealand
  3. Qualify for Social Housing through MSD

Please read through the below information:

  • There is no onsite parking available at any of our properties
  • No on-site storage at any of our properties
  • Security cameras are situated throughout our properties
  • The tenant is responsible for all costs associated to their property eg rent, utilities, damages further information will be provided if your application is successful
  • There is a visitor policy – up to a maximum of 3 visitors at one time at our properties
  • Our properties are pet free environments
  • There is a policy of each apartment being the principal place of residence for all tenants
  • If successful, personal information about me has been collected by ACMHL from this form
  • As part of tenancy and safety, photos of the tenants will be taken at Sign Up.

Your preferred location?

Would you benefit from having a keyworker working alongside you during your housing journey?

This application form is for a residential tenancy with Auckland City Mission Housing Ltd (ACMHL). If you require assistance to complete this form, please contact us.

Applicant Details

Identification

Are you married?

What is your gender?

Which ethnic groups do you identify with?

Occupancy details

Are you a smoker?

Do you have a bicycle/ motorbike/scooter/ vehicle?

Where are you currently living?

Previous rental information

Other previous rental information

This does not impact a future tenancy with us

Current Employment

Previous employment

Emergency details

Contact Details Nearest Relative/Friend (to be used in case of an emergency only)

Tenant Declarations, Consents and Agreements

I agree to you obtaining other information about me and contacting any of the following referees (Not relatives)

I agree that ACMHL as my landlord may use this information to carry out any or all credit checks and reference checks.


I agree that you may use any of the information on this form to enforce any judgement in respect of the tenancy agreement or in respect of any order made against me made by the Tribunal.


I agree to any of this information being given to another landlord, credit bureau or tenant default database.


I agree to pay any or all costs of collection including disbursements, fees, commissions and charges.


I confirm the information in this form is true and correct and that I have read and signed the Conditions under the Privacy Act 2020 and other information on the other side of this form before completing the application form itself.

Privacy Statement

This application form requires you to submit personal information. In terms of the Privacy Act 2020, the following should be noted.

  1. Requests Information:
    This application form asks you to provide personal information
  2. Purpose of Collection:
    The information is being collected on this form by with Te Tāpui Atawhai ā whare (ACMHL) and is required so that they can check the information and be able to assess whether you would be the best applicant on merit for the tenancy. We are also obliged to inquire whether you are a minor or beneficiary.
  3. Recipient of Information:
    The intended recipient of this information is with Te Tāpui Atawhai ā whare (ACMHL) whose name appears at the top of this form as the official landlord.
  4. Sight Information:
    We advise that you have the right to see the information we hold about you who has access to it.
  5. Correct Information:
    To correct that information if it is incorrect and
  6. Holding Information:
    In the event that with Te Tāpui Atawhai ā whare (ACMHL) is required to carry out a credit check then with Te Tāpui Atawhai ā whare (ACMHL) is obliged by law to retain the record of that application.

Other information drawn to your attention:

Understanding: By completing this form you give evidence the fact that you are applying to rent a permanent residential property with Te Tāpui Atawhai ā whare (ACMHL).


You are further advised that: If you do not supply all the information requested in this form you may not be considered as the best applicant on merit for a specific property or other properties available for rent.


An incomplete application form will not be processed

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