Apply for Housing Support

Please complete the online form below if you would like to apply for YMCA housing support in Nottingham, Mansfield, Goole and Worksop.

Be as honest as possible as this will help us to best support you. If you need any help or would prefer to fill out a paper application, please email stay@nottsymca.org or come along to our YMCA reception at 4 Shakespeare Street, and our team will be happy to guide you. We accommodate individual applicants with support needs.

Fields marked with * are required.

Referral

Who are you?

I am the applicantI am referring someone

Source of referral

Please specify

Where are you looking at the housing to be located?

If you are not sure, please select the hostel location and the location will be confirmed when we contact you.

Information of applicant in need of housing support

First name(s)

Last name

Date of birth

Place of birth

Mobile number

Other contact number

Gender

Ethnic origin

National Insurance number

Are you sleeping rough?

YesNo

Would you consider that your current housing is suitable for you?

YesNo

Are you a:

RefugeeAsylum seekerNeither

Support agencies

Are you receiving any support from any agencies?

YesNoe.g. Social Services, drug/alcohol services/probation/mental health services etc.

Agency name

Contact number

Key/emergency contact details

Name

Relationship

Address

Contact number

What to bring to your interview

You will be asked to provide your past 5 years of previous addresses. Please bring along to your interview:

Proof of income
Two documents as proof of ID
Proof of National Insurance (NI) number
Home office documents (if applicable)

Contact Information