Housing Application Form

Housing Application Privacy

This form is for initial housing applications only. Please provide only the basic information needed to help us understand the type of housing or living support you are looking for, and do not include medical records, diagnoses, NDIS plans, participant numbers or other sensitive information.

A Dantae Support Services team member will contact you if further details are required. You can also contact our team directly if you would prefer not to provide information through the website.

[Read our Website Forms & Newsletter Privacy Notice]

1. Applicant Details

Given Name/s

Family Name

Email Address

Mobile Phone

Gender / Gender Identity

Suburb / Postcode

Preferred Method of Contact

Mobile Phone

Email Address

SMS

2. Who Is This Enquiry For?

I am enquiring:

Other:

3. What Are You Looking For?

Which housing or living option are you interested in?

4. Preferred Area

Where are you looking for housing or support?

5. Timing

When are you hoping to find a housing or living option?

6. NDIS Status

Does the person requiring support currently have an NDIS plan?

7. Tell Us What You’re Looking For

Briefly tell us what you are looking for

8. Accessibility

Are there any important housing or accessibility features we should know about?

9. Existing Support

Are you currently working with a Support Coordinator or other professional regarding housing?

10. Consent

Consent

I consent to Dantae Support Services contacting me about this enquiry.

I acknowledge that the information I provide will be handled in accordance with the Dantae Support Services Privacy Policy.

By submitting this application, you acknowledge our [Website Terms of Use] and confirm that you have read our [Website Forms & Newsletter Privacy Notice].