NRAS Application Form

* designates compulsory field

Have you confirmed your eligibility for the NRAS scheme? *
Yes
No
NRAS Conditional Approval Number*
To apply for an NRAS Conditional Approval Number, click on below link and complete
the National Rental Affordability Scheme Eligibility Check: www.nras.communities.qld.gov.au
Household Income Types*
To select more than one, press Control and select your income type(s)
How many adults reside in your household?*
use numeric numbers only- no decimals or symbols
How many children reside in your household?*
use numeric numbers only- no decimals or symbols
What is the weekly (gross) income of all adults in your household?*
use numeric numbers only
What would you estimate your weekly expenses are?*
(i.e. food, petrol. This excludes rent.) - use numeric numbers only
Have you ever been evicted from a rental property?*
Yes
No
Have you ever been listed on a tenancy database like TICA?*
No
Yes
Unsure / Extenuating Circumstances (Please list below)

What is TICA?
Details
Remaining  

merge label*
Yes
No
Location*
To select more than one, press Control and select your preferred location(s)
To register for a specific property please list the address of a property listed on realestate.com.au
Remaining  

Applicant 1:
Applicant 1 Name*
DOB*
Email Address*
Home Phone*
Please include area code - Ensure there are no spaces between digits. Use numerals only- no decimals or symbols. If you don't have a landline number, please enter mobile number.
Mobile Phone*
Current Address*
Applicant 2:
Applicant 2 Name
DOB
Email Address
Home Phone
Please include area code - Ensure there are no spaces between digits. Use numerals only- no decimals or symbols. If you don't have a landline number, please enter mobile number.
Mobile Phone
Current Address
Applicant 3:
Applicant 3 Name
DOB
Email Address
Home Phone
Please include area code - Ensure there are no spaces between digits. Use numerals only- no decimals or symbols. If you don't have a landline number, please enter mobile number.
Mobile Phone
Current Address
Number of Bedrooms*
Backyard*
Yes
No
Garage *
Yes
No
Stairs*
Yes
No
Other Requirements
Remaining  

Do you have pets *
Yes
No
Number of pets
Type of pets

If successful, would you like to utilise the services of Direct Connect?

Current Address
Current Rental Address*
Suburb*
Postcode*
Duration of Tenancy*
months
Rent Paid (weekly)*
Reason for wanting to leave*
Rental Type *
Reference Contact Details
Previous/Current Landlord*
Phone Number*
Please include area code - Ensure there are no spaces between digits. Use numerals only- no decimals or symbols. If you don't have a landline number, please enter mobile number.
Email
Fax
Please include area code
Previous Address
Previous Rental Address
Suburb
Postcode
Duration of Tenancy
months
Rent Paid (weekly)
Reason for wanting to leave
Rental Type
Reference Contact Details
Previous/Current Landlord
Phone Number
Please include area code - Ensure there are no spaces between digits. Use numerals only- no decimals or symbols. If you don't have a landline number, please enter mobile number.
Email
Fax
Please include area code
Employment Details
Applicant 1
Employer/Centrelink/Other*
Job title/type of benefit received*
Duration of Employment/ duration being on benefit*
years
Income *
Employer reference name*
If Centrelink, type 'Centrelink'.
Phone Number*
Please include area code - If Centrelink, enter 0000000000
Applicant 2
Employer/Centrelink/Other
Job title/type of benefit received
Duration of Employment/ duration being on benefit
years
Income
Employer reference name
If Centrelink, type 'Centrelink'.
Phone Number
Please include area code - If Centrelink, enter 0000000000
Next of Kin
Name*
Phone Home*
Please include area code - Ensure there are no spaces between digits. Use numerals only- no decimals or symbols. If you don't have a landline number, please enter mobile number.
Phone Work*
Please include area code - Ensure there are no spaces between digits. Use numerals only- no decimals or symbols. If you don't have a landline number, please enter mobile number.
Privacy Consent
Privacy*

By ticking this box, I confirm that: I have been provided with information regarding Horizon's Privacy Policy providing me the opportunity to read and discuss. I understand that Horizon Housing requires my personal information to process my application and consent to this information being used as stated in the Privacy Policy.
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