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What We Do
Our Team
Volunteering
Strategic Plan
Corporate Partners
Locations
Ascot Park
Findon
Glenelg
Toorak Gardens
Mitcham
Parkside
Prospect
Yankalilla
Apply
Application Process
Registration of Interest
FAQ
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News
Newsletter
Annual Report
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Contact Details
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DONATE
About
What We Do
Our Team
Volunteering
Strategic Plan
Corporate Partners
Locations
Ascot Park
Findon
Glenelg
Toorak Gardens
Mitcham
Parkside
Prospect
Yankalilla
Apply
Application Process
Registration of Interest
FAQ
Useful Links
News AND Events
News
Newsletter
Annual Report
Contact
Contact Details
Donate
Bequest
DONATE
Registration of Interest
Section 1: Applying On Behalf Of Someone Else
IF YOU ARE COMPLETING THIS REGISTRATION OF INTEREST ON BEHALF OF SOMEONE, PLEASE COMPLETE SECTION 1 AND ALL OTHER SECTIONS. IF YOU ARE REGISTERING INTEREST FOR YOURSELF, PLEASE GO TO SECTION 2.
Name
First
Last
Email
Phone
Organisation (if applicable)
Section 2: Applicant's Details
Today's Date
(Required)
Day
Day
1
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Month
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12
Year
Year
2027
2026
2025
2024
2023
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
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1952
1951
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1932
1931
1930
1929
1928
1927
1926
1925
1924
1923
1922
1921
1920
Are you applying as a single person or a couple?
(Required)
Single
Couple
Applicant Full name
(Required)
First
Last
Applicant 2 Full name
(Required)
First
Last
Current address
(Required)
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bonaire, Sint Eustatius and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos Islands
Colombia
Comoros
Congo
Congo, Democratic Republic of the
Cook Islands
Costa Rica
Croatia
Cuba
Curaçao
Cyprus
Czechia
Côte d'Ivoire
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard Island and McDonald Islands
Holy See
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Korea, Democratic People's Republic of
Korea, Republic of
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macao
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Macedonia
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine, State of
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Romania
Russian Federation
Rwanda
Réunion
Saint Barthélemy
Saint Helena, Ascension and Tristan da Cunha
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and the South Sandwich Islands
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen
Sweden
Switzerland
Syria Arab Republic
Taiwan
Tajikistan
Tanzania, the United Republic of
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkmenistan
Turks and Caicos Islands
Tuvalu
Türkiye
US Minor Outlying Islands
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Venezuela
Viet Nam
Virgin Islands, British
Virgin Islands, U.S.
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Åland Islands
Country
Do you own your own home?
(Required)
Yes
No
Telephone number (mobile preferred)
(Required)
Please contact us if in the future this changes.
Email address
Applicant Age
(Required)
Applicant Date of birth
(Required)
Day
Day
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
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28
29
30
31
Month
Month
1
2
3
4
5
6
7
8
9
10
11
12
Year
Year
2027
2026
2025
2024
2023
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
1979
1978
1977
1976
1975
1974
1973
1972
1971
1970
1969
1968
1967
1966
1965
1964
1963
1962
1961
1960
1959
1958
1957
1956
1955
1954
1953
1952
1951
1950
1949
1948
1947
1946
1945
1944
1943
1942
1941
1940
1939
1938
1937
1936
1935
1934
1933
1932
1931
1930
1929
1928
1927
1926
1925
1924
1923
1922
1921
1920
Applicant 2 Age
(Required)
Applicant 2 Date of birth
(Required)
Day
Day
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Month
Month
1
2
3
4
5
6
7
8
9
10
11
12
Year
Year
2027
2026
2025
2024
2023
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
1979
1978
1977
1976
1975
1974
1973
1972
1971
1970
1969
1968
1967
1966
1965
1964
1963
1962
1961
1960
1959
1958
1957
1956
1955
1954
1953
1952
1951
1950
1949
1948
1947
1946
1945
1944
1943
1942
1941
1940
1939
1938
1937
1936
1935
1934
1933
1932
1931
1930
1929
1928
1927
1926
1925
1924
1923
1922
1921
1920
Reason for leaving current address
(Required)
How did you find out about Cottage Homes?
(Required)
Section 3: Choice of Location
PLEASE INDICATE IN ORDER OF PREFERENCE, WITH 1 BEING YOUR FIRST PREFERENCE WHICH LOCATION WOULD BE SUITABLE TO YOU. IF ONLY ONE SITE WOULD BE SUITABLE TO MAINTAIN AN EXISTING SUPPORT NETWORK, CONSIDER THIS WHEN COMPLETING THIS SECTION, HOWEVER UP TO 8 BOXES CAN BE NUMBERED.
Ascot Park
–
1
2
3
4
5
6
7
8
Glenelg*
–
1
2
3
4
5
6
7
8
Findon*
–
1
2
3
4
5
6
7
8
Toorak Gardens
–
1
2
3
4
5
6
7
8
Parkside
–
1
2
3
4
5
6
7
8
Prospect
–
1
2
3
4
5
6
7
8
Mitcham
–
1
2
3
4
5
6
7
8
Yankalilla (Coming in late 2026)
–
1
2
3
4
5
6
7
8
*Glenelg & Findon have both ground & upstairs units (no lifts). Would you accept an upstairs unit?
(Required)
Yes
No
Section 4: Further Information
THE FOLLOWING INFORMATION WILL HELP US ASSESS YOUR APPLICATION TO LIVE IN A COTTAGE HOMES COMMUNITY.
The Cottage Homes has a NO PETS policy for residents. Will this be an issue for you?
(Required)
(If yes, please note that The Cottage Homes does not allow pets)
Yes
No
The Cottage Homes has a NO SMOKING policy for residents. Will this be an issue for you?
(Required)
Yes
No
Do you qualify for a Government Pensioner Medical Card?
(Required)
Yes
No
Do you receive an Age Pension or Age Service Pension?
(Required)
Yes
No
Type of Pension
(Required)
Section 5: Assets
THE ASSETS DISCLOSED IN THIS SECTION SHOULD BE CONSISTENT WITH THE ASSETS DISCLOSED TO CENTRELINK. IF YOU ARE APPLYING AS A COUPLE, PLEASE INCLUDE THE VALUE OF ASSETS FOR BOTH PEOPLE.
Please answer all sections below. Enter “0” where appropriate.
Money in bank
(Required)
Numerical values only
Superannuation
(Required)
Numerical values only
Property
(Required)
Shares and Investments
(Required)
Motor Vehicles
(Required)
Household Effects
(Required)
Business Ownership
(Required)
Other
(Required)
ie. valuables / collections (art, wine, antiques, vehicles)
Other
If you have entered a value for Other assets, please list these below:
Privacy Collection Notice
(Required)
I agree to the privacy collection notice.
The information in this application (“Information”) is to be collected by Knight Frank Australia Pty Ltd (“Knight Frank”) to maintain a record of your interest in, and application for admission to, The Cottage Homes Incorporated, to verify your identity, to process and evaluate your application and to manage your occupation if your application is successful.
The application asks you to provide details of “Personal Information” and “Sensitive Information” as defined by the Privacy Act.
The Information may be disclosed during the course of your application or occupation for the purpose for which it was collected to other parties including the landlord, referees, guarantors, your doctor and relatives, financial institutions, tradespeople, third party operators of tenancy reference databases and other third parties as required by law. Further details of our disclosure practices can be obtained from us on request or by visiting our web site, www.knightfrank.com.au.
You may obtain access to the information that we hold about you by contacting us on 08 8233 5222 or writing to us at Level 29, Westpac House, 91 King William Street, Adelaide SA 5000, clearly marked “Cottage Homes – Privacy Information Request”. You can correct this Information if it is inaccurate, incomplete, or out of date.
By signing this Notice, you consent to our collection, use and disclosure of the Information in accordance with this Notice. If you do not sign this Notice and do not provide your consent, we may not be able to process your application or manage your occupation.
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