KNX Community Hostel Application Form

Personal Information

Full Name*

Date of Birth*

Current Address

Street Address:*

City:*

State:*

Post Code:*

Country:*

Contact Number*

Email Address*

Are you Aboriginal or Torres Strait Islander?*

YesNo

Language/Cultural Group(s):

Previous Stay

Have you stayed with us before?*

YesNo

Accommodation Type Requested*

Supporting Documents

If you are not able to supply any of these documents now, please submit within 5 working days to our email: knxcommunityhostel@wunan.org.au

Police Clearance (less than 6 months old)

Max File Size: 10.00 MB
Allowed File Types: .avi, .doc, .docx, .gif, .jpeg, .jpg, .mov, .mp3, .mp4, .mpeg, .mpg, .pdf, .png, .ppt, .pptx, .xls, .xlsx

Proof of Income (two recent pay slips or Centrelink statement)

Max File Size: 10.00 MB
Allowed File Types: .avi, .doc, .docx, .gif, .jpeg, .jpg, .mov, .mp3, .mp4, .mpeg, .mpg, .pdf, .png, .ppt, .pptx, .xls, .xlsx

Proof of full-time employment or training

Max File Size: 10.00 MB
Allowed File Types: .avi, .doc, .docx, .gif, .jpeg, .jpg, .mov, .mp3, .mp4, .mpeg, .mpg, .pdf, .png, .ppt, .pptx, .xls, .xlsx

Identification x 1 (Bank Card, Medicare Card, Drivers Licence or other)

Max File Size: 10.00 MB
Allowed File Types: .avi, .doc, .docx, .gif, .jpeg, .jpg, .mov, .mp3, .mp4, .mpeg, .mpg, .pdf, .png, .ppt, .pptx, .xls, .xlsx

Employment Status

Current Housing Situation

Have you rented before?*

YesNo

Current Housing Type:*

Duration at Current Housing*

Do you own or are buying a house?*

YesNo

Interested in buying your own home?*

YesNo

Where have you lived before and why did you leave?*

Why do you want Wunan accommodation?*

Estimated Fortnightly Income

Work Income*

CDEP*

Centrelink*

Royalties*

Other*

Fortnightly Income Bracket*

Do you owe any money?

YesNo

How well do you manage your money?*

Do you need help managing money?*

YesNo

Are you prepared for payroll deductions for rent?*

YesNo

Achievements and Work History

Are you currently working?*

Current Employer

Are you studying or training currently?*

Previous Training/Employment (last two years)

Duration of Previous Training/Employment (last two years)

Skills Assessment*

Manage myselfManage othersReadWriteTalk with peopleSolve problems

Referees

Referee 1 Name*

Referee 1 Phone*

Referee 2 Name*

Referee 2 Phone*

If accepted into the KNX Community Hostel, I commit to:*

Paying rent and bond as agreedEngage in work/training or job searchingAttending my monthly support plan meeting and actively participatingParticipating in Wunan and other agency servicesFollowing hostel handbook and rulesAttend hostel activities and workshops

Applicant Signature*

Signature Date*