Housing Eligibility FormPlease start by telling us where you heard about Community Housing – please select one: NT Housing Anglicare Mission Australia NT Shelter MHACA (Mental Health Association of Central Australia) Tangentyere Council Family / Friend Other (please specify below)If other please specifyStart QuestionsQ1. Are you an Australian citizen or Permanent Resident? Yes NoHiddenNot an Australia CitizenSorry, you are not eligible for Community Housing.This link details other organisations in Alice Springs that MAY be able to assist you: NT Shelter : https://www.shelterme.org.au/Q2. Do you identify as Aboriginal? Yes NoQ3. Do you own a property, or a share in a property? Yes NoHiddenNot eligibleSorry, you are not eligible.Community Housing is available for Low Income renters only. Thank you for your interest.HiddenEmploymentQ4. Are you or any other adult in your household working? Yes NoHiddenNot Working – Renal?Are you or anyone in your Household a RENAL patient? Yes NoHiddenNot working Not Renal – Seniors routine starts hereAre you over 50 years old? Yes NoHiddenunder 50 and not working ineligibleSorry, you are not eligible for Community Housing.This link details other organisations in Alice Springs that MAY be able to assist you: NT Shelter : https://www.shelterme.org.au/HiddenSeniors household – not working and over 50Household composition – seniors One adult Two adults None of the aboveHiddenSenior One Adult incomeWhat is your total YEARLY income? $52 795 or less $52 796 or moreSenior Two Adult incomeWhat is the total YEARLY income of both persons in the household? $72 993 or less $72 994 or moreHiddensenior ineligibleSorry, you are not eligible for Community Housing.This link details other organisations in Alice Springs that MAY be able to assist you: NT Shelter : https://www.shelterme.org.au/Hiddensenior eligible and submitGiven the information you have provided, you MAY be eligible for a Community Housing tenancy subject to when a suitable property becomes available.Please complete the details below and CHCA will contact you via SMS when a suitable property becomes available, and invite you to complete an Application Form.Please also check our web-page regularly to see if any property vacancies have become available: www.chca.org.auName(Required) First Last Email Phone number(Required)What is the total yearly income of everyone in the household?What is your source of income? Centrelink benefits OtherWhat is the source of income of Adult 2? Centrelink benefits OtherHave you answered all the questions correctly?The submit button will appear after you select yes. YesHiddenQ5. Household composition – working pplHousehold composition One adult Two adults Three adults Four adults Sole parent with one child Sole parent with two children Sole parent with three children Couple with one child Couple with two children Couple with three children none of the aboveHiddenHousehold demographic for RenalHousehold composition One adult Two adults Three adults Four adults Sole parent with one child Sole parent with two children Sole parent with three children Couple with one child Couple with two children Couple with three children none of the aboveHiddenOne adultWhat is the total YEARLY income of everyone in the household over 18 years of age? $52 795 or less $52 796 or moreHiddenTwo adultsWhat is the total YEARLY income of everyone in the household over 18 years of age? $72 993 or less $72 994 or moreHiddenThree adultsWhat is the total YEARLY income of everyone in the household over 18 years of age? $93 191 or less $93 192 or moreHiddenFour adultsWhat is the total YEARLY income of everyone in the household over 18 years of age? $113 389 or less $113 390 or moreHiddenSole parent with one childWhat is the total YEARLY income of everyone in the household over 18 years of age? $73 044 or less $73 045 or moreHiddenSole parent with two childrenWhat is the total YEARLY income of everyone in the household over 18 years of age? $90 558 or less $90 559 or moreHiddenSole parent with three childrenWhat is the total YEARLY income of everyone in the household over 18 years of age? $108 072 or less $108 073 or moreHiddenCouple with one childWhat is the total YEARLY income of everyone in the household over 18 years of age? $90 507 or less $90 508 or moreHiddenCouple with two childrenWhat is the total YEARLY income of everyone in the household over 18 years of age? $108 021 or less $108 022 or moreHiddenCouple with three childrenWhat is the total YEARLY income of everyone in the household over 18 years of age? $125 535 or less $125 536 or moreHiddenIneligibile – income for each income cut off & none of the aboveSorry, you are not eligible for Community Housing.This link details other organisations in Alice Springs that MAY be able to assist you: NT Shelter : https://www.shelterme.org.au/HiddenEligible and SubmitGiven the information you have provided, you MAY be eligible for a Community Housing tenancy subject to when a suitable property becomes available.Please complete the details below and CHCA will contact you via SMS when a suitable property becomes available, and invite you to complete an Application Form.Please also check our web-page regularly to see if any property vacancies have become available: www.chca.org.auName(Required) First Last Email Enter Email Confirm Email Phone Number(Required)Comments (optional)Have you answered all the questions correctly?The submit button will appear if you answer YES YES
