The information you give us here will be used to try to find you a We may be able to send you a list of people who are
partner to swap homes with. interested in your home. You can then choose if you want to
We may advertise your home using the internet, East End Life see their home.
newspaper or our brochure. You do not have to swap with anyone unless you want to.
We will NOT publish your full address or your personal details. This will not affect your housing list application.
ABOUT WHERE YOU LIVE NOW
FLAT No. OF BEDROOMS
MAISONETTE FLOOR LEVEL LIFT Yes / No
HOUSE RENT (per week) £
BUNGALOW TYPE OF HEATING
GARDEN RIGHT TO BUY SEPARATE BATHROOM / WC
ADAPTED FOR A WHEELCHAIR USER
ENTRYPHONE PETS ALLOWED
CONCIERGE DOUBLE GLAZING
ABOUT WHERE YOU WANT TO MOVE TO
TYPE OF PROPERTY FLAT / HOUSE / MAISONETTE / BUNGALOW / ANY
NUMBER OF BEDROOMS HIGHEST FLOOR LEVEL
I agree that my home can be advertised to try to find me a partner to swap homes with.
Signature ____________________________________________________ Date ____________