Register Your Interest

1. Please read our information sheet before completing this form. It provides details about our almshouses including the criteria for appointment. Please also see our Privacy Policy regarding how we handle your personal data.

2. Please answer the following questions, with as much information as possible, to register your interest.

Your form may be returned to you if full information is not provided.

We do not know how long until one of our almshouses will become available as vacancies arise only when a resident leaves us.

Housing Register

We recommend that you join the Housing Register at Dorset Council, for other local social housing options. You can contact them as follows:

Phone: 01305 221000

Website: https://www.dorsetcouncil.gov.uk/housing-register

Email: dorsetcouncilhomechoice@dorsetcouncil.gov.uk

Housing Advice Line

If you are struggling with housing costs or worried about losing your home, you can contact the Housing Advice Line, a partnership between Dorset Council, Shelter and Citizens Advice Bureau, for free, confidential, non-judgemental advice.

Phone: 01305 221000

Email: housinghelp@dorsetcouncil.gov.uk

The Housing Advice Line is open to anyone who:

- has a mortgage

- rents privately

- has a social landlord.

Experts can assist with many areas of housing such as giving legal and debt advice, help finding a new home due to eviction and sometimes facilitate financial assistance to enable residents to remain in their accommodation.

Full Name Address Phone Number(s) (Home, Work, Mobile) Email Address Date of Birth Are you able to live independently? Please list any care/support needed, how often needed, and how it is provided e.g. agency carers help with daily shower; son help with weekly shopping Please list all the dates you have lived in DORSET e.g. 1952 to 1956 and 2000 to 2012 Do you have family or close friends living in the county of DORSET? If you answered Yes to the above question please give their names and relationship to you. e.g. Jane Smith, Daughter Please state where they live How long have they lived there? Do you have any other connection to DORSET? How long have you lived at your current address? Is your current property owned or rented? Number of Bedrooms Are you in receipt of Housing Benefit? Do you have any savings or investments over £25,000? If you answered Yes to the above question please give some more details Why do you wish to leave your current accommodation? Please tell us anything else you think may support your registration request How did you hear about us?

When submitting information on this form, Dorchester Almshouses will not use your personal data for any form of marketing or pass your data on to any third party processors. The data provided will solely be used to respond to your query/email that you have submitted. Your data will only be retained for the purposes already mentioned above or until such time as it becomes no longer valid or you specifically request its removal.

Date of Submission

By pressing 'SEND' you are agreeing that the information provided in this form is accurate to the best of your knowledge.