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Apply for housing
Kia ora
Thank you for contacting us! We will be in touch to let you know what we have available shortly.
Our placement process includes an interview to understand your needs so we can house you in the most suitable whānau flat.
If we have something suitable available we will generate a quote that you can either pay for at our office or take to WINZ for them to approve. If nothing suitable is available, then we will put you on to our waiting list.
Legacy runs a range of different services. We have pastors who are available to listen and pray with you, a free meal on Mondays 6pm at our Community Centre (86 Highbury Ave), men's and women's support groups, box fit classes, and non-judgmental church services on Sundays at 9am or 11am at Legacy Church (200 Church St). Please do not hesitate to reach out to us if we can help with any of these things.
Nga mihi
Legacy Team
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Main contact name
*
First
Last
Date of birth
*
Email
*
Cell Phone
*
Location
*
Palmerston North
Levin
Accommodation Type
*
Long Term Whānau Flat
Youth Transition Flat
How many adults do you need accommodation for?
*
1
2
3
4 or more
Name of second adult
*
First
Last
Name of third adult
*
First
Last
Name of fourth adult
*
First
Last
How many children do you need accommodation for?
*
0
1
2
3
4 or more
Name of first child
*
First
Last
Name of second child
*
First
Last
Name of third child
*
First
Last
Name of fourth child
*
First
Last
Emergency contact
*
First
Last
Emergency Contact Cell Phone
*
Previous Landlord
*
First
Last
Previous Landlord's Email
*
Previous Landlord's Cell Phone
*
1x Reference
*
First
Last
Referee's Cell Phone
*
Confirmation of Quote Request:
*
I am applying for Accommodation and Setup Cost
Are you or anyone in your whanau working with any agencies?
No
Yes
Which agencies?
WINZ
Corrections
Te Mana o te Tanagata
Mash Trust
Mental Health & Addiction Services
Other
What other agencies are you or your whanau working with? (copy)
Do you have any sentence/release conditions?
*
Yes
No
What are your sentence/release conditions?
Have you been taken to Tenancy Services before?
*
No
Yes
Why were you taken to Tenancy Services?
Does anyone who requires accommodation have a mental health condition?
*
Yes
No
What are the mental health conditions?
*
Does anyone who requires accommodation have a physical health condition?
*
Yes
No
What are the physical health conditions?
*
Do you have any gang affiliations?
*
Yes
No
What are the affiliations?
*
Upload a photo (preferably photo id)
*
Click or drag a file to this area to upload.
Signature
*
Clear Signature
By signing above, I certify all information is true and correct to the best of my knowledge.
Disclaimer
*
I agree
I give permission for Legacy Housing to share my information with other agencies like Ministry of Social Development, Department of Corrections and other accommodation providers to assist with matching me with suitable housing for my circumstances. By clicking yes, I am allowing Legacy Housing and the selected agencies to disclose the authorised information to each other under Principle 11 of the Privacy Act 1993.
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