Mutual exchanges

Consent for storing submitted data *

Yes, I give permission to store and process my data

Name *

Email *

Address *

Postcode *

Contact number *

Where did you find your mutual exchange partner? *

Number of adults in your home *

Number of children in your home - please include age and gender *

Number of bedrooms in your home *

I am interested in a mutual exchange with... *

1 other home

A multi way swap

Exchanging with 1 other home

Your exchange applicants details (the property you are moving to)

Exchange applicant's name *

Exchange applicant's address *

Their email *

Their contact number *

Are they a Midland Heart tenant too? *

Yes

Their landlord *

Their landlord's email *

Their landlord's contact number

Number of adults in their home *

Number of children in their home - please include age and gender *

Number of bedrooms in their home *

Agreement

By submitting this form you are confirming that: You understand that the information you provide on this form will be used to process your application for an exchange. As part of your application for housing, you also understand that it may be necessary for us to request information from relevant individuals and authorities including a previous or current landlord, mortgage lenders, local authorities, social workers, the police or any other agency as necessary.

I agree *

A multi way swap

How many homes - including your own - are part of your swap? *

1st exchange applicant's name *

1st exchange applicant's address *

1st exchange applicant's email *

1st exchange applicant's number *

1st exchange landlord's name *

Number of adults in 1st exchange applicant's home *

Number of children (please include age and gender) in 1st exchange applicant's home *

Number of bedrooms in 1st exchange applicant's home *

2nd exchange applicant's name *

2nd exchange applicant's address *

2nd exchange applicant's email *

2nd exchange applicant's number *

2nd exchange landlord's name *

Number of adults in 2nd exchange applicant's home *

Number of children (please include age and gender) in 2nd exchange applicant's home *

Number of bedrooms in 2nd exchange applicant's home *

3rd exchange applicant's name *

3rd exchange applicant's address *

3rd exchange applicant's email *

3rd exchange applicant's number *

3rd exchange landlord's name *

Number of adults in 3rd exchange applicant's home *

Number of children (please include age and gender) in 3rd exchange applicant's home *

Number of bedrooms in 3rd exchange applicant's home *

4th exchange applicant's name *

4th exchange applicant's address *

4th exchange applicant's email *

4th exchange applicant's number *

4th exchange landlord's name *

Number of adults in 4th exchange applicant's home *

Number of children (please include age and gender) in 4th exchange applicant's home *

Number of bedrooms in 4th exchange applicant's home *

5th exchange applicant's name *

5th exchange applicant's address *

5th exchange applicant's email *

5th exchange applicant's number *

5th exchange landlord's name *

Number of adults in 5th exchange applicant's home *

Number of children (please include age and gender) in 5th exchange applicant's home *

Number of bedrooms in 5th exchange applicant's home *

Submission

Confirmation *