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Elevate Affordable Housing Program EOI
Full Name
*
Contact Phone Number
*
Contact Email
*
DOB
*
MM slash DD slash YYYY
Gender
*
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Which key worker sector are you employed in?
*
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Aged Care
Childcare
Healthcare
Education
Local Government
Emergency Services
Retail
Transport
What is your role/occupation?
*
Are you (the primary applicant) a permanent resident?
*
Yes
No
Are you on a working visa?
*
Yes
No
What is the expiry date on your visa?
*
Are you registering for
*
Single
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How many adults and how many children are in your family?
*
What are your current living arrangements?
*
Own my property
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Private rental
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Other
What is your annual income before tax?
*
What is the annual income before tax of any other household members?
*
How did you hear about this program?
*
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Referred by any agency
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What is your preferred move-in date?
*
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*
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