Home Ownership Pathways Registration Form | Tūwharetoa Settlement Trust

REGISTRATION Form

We offer a Kaupapa Māori approach to educate, assist and help you into Home Ownership.

To ensure this service is right for you, please complete all boxes below before clicking submit.

First Name *

Last Name *

Street Address

City *

Email Address *

Phone *

Will this be a Joint Application?

What are you wanting to do? *Buy residential propertyBuild residential propertyBuild on whenua Māori

If you were applying for a mortgage with the Bank, how much would would you need to borrow? *

How much deposit do you have? *

What is your current housing situation?

What is your main source of income? (please select one only)

How many dependent children live in your whare? (0 - 17yrs) *

What are the ages? *

Informed Consent and Sharing of Information *I understand that He Iwi Kāinga is committed to providing full information to enable me to make informed decisions about the interventions (other services/ agencies) and the support they offer.

Informed Consent and Sharing of Information *I agree to be provided with information about the service and have the following processes explained to me before engaging. He Iwi Kāinga complaints process Advocacy services My rights as a client Confidentiality / privacy of information Consent to sharing of information How to exit, leave programme Information used as case studies (unidentified) for our Funders Report Use of your images for advertising (where applicable)

By signing this form, I acknowledge and understand the information will be given to me and I am aware that I can clarify any aspect of my consent at any time. This consent will be reviewed annually or at any time at my request. I acknowledge that staff working with me and others who are involved in my plan or programme may need to share health information to ensure I receive a quality service. I acknowledge that staff will only share my information with other services, as necessary.