• Please complete all sections. Failure to do so may result in your application being rejected.

    Personal Details

  • Who will be living with you in ZHA accommodation

    (Please note we do not house siblings, parents or friends. Dependants and spouses only)

    First Person
  • Second Person
  • Third Person
  • Location Preferred

    Please select your preferred location but be aware that we operate a ‘one offer only policy’ and therefore if you refuse an offer you will be removed from the waiting list. Please also be aware that you will not be considered for accommodation which is larger than your needs require.
  • University / College

  • ACCOMMODATION REQUIRED

    (All ZHA properties are let for a minimum of six months)
  • Income

  • Equality and Diversity Monitoring

    Zebra Housing Association strives to operate a policy of equality and diversity and not discriminate against any person. For this reason we monitor all aspects of our business including who serves on our Board. The information you provide will be treated in the strictest confidence. The information is reported to our regulator and forms part of an annual report to the Board – see the Equality and Diversity policy approved by the Board in November 2009 and amended in September 2012.
  • A person has a disability under the Disability Discrimination Act if he/she has a physical or mental impairment which has a substantial and long term adverse effect on his/her ability to carry out normal day to day activities. Long term means has lasted, or is expected to last, for 12 months. Do you consider yourself to be a disabled person.
  • I confirm that all the information supplied is correct and understand that if it is later found to have been false, I risk losing any accommodation I am offered. I understand that should I cease to be a full time student my application will no longer be valid.