Pacific Home Ownership

Citizenship / ResidencyStatus

Other (Please specify)

Pacific Identity

If yes, please select one or more:*

Samoan

Tongan

Cook Islands Māori

Niuean

Tokelauan

Fijian

Tuvaluan

Other Pacific (please specify)

Other (Please specify)

Personal Details

First name *

Last name *

Email Address *

Mobile number *

Date of Birth *

(This programme primarily supports working-age adults, with a focus on participants aged 25–55.)

Address

Street Address *

Suburb *

City *

Postcode *

Houeshold Information

If yes,

Number of adults in household

Number of children/dependents

How many bedrooms are in your current home? *

(This programme is designed for household participation.)

Other (Please specify)

Other (Please describe)

Employment Status

Other (Please specify)

(This programme is intended for participants in stable or gainful employment.)

What is your current occupation? *

Home Ownership Intent

I confirm that the information provided is accurate.

I consent to being contacted about the Financial Capability Programme.

I agree and consent to my information being collected and shared to meet the programme funding requirements as per the Participant Information and Consent information available here.

Citizenship / ResidencyStatus

Pacific Identity

Personal Details

Address

Houeshold Information

Employment Status

Home Ownership Intent

Timeframe for Home Ownership

Motivation Check

Consent

Signature