Name (required):
Email (required):
Tel:
Communal loungeMeeting roomActivity roomsSocial spaceShopHome working studio/ officesMini gymnasium and fitness roomsMulti-use spaces that could be hired out
Any other spaces to encourage the building of communities (Please state):
TransportCrime & securityDisability access
Other (Please state):
YesNo
SingleCoupleFamily
1 bedroom/2 person flat2 bedroom/3 person flat2 bedroom/4 person flat2 bedroom/4 person house3 bedroom/5 persons house
RentalShared ownership
0 cars1 car2 cars3 or more cars
WalkCarBusCycle
If yes, how many?:
West Midlands PoliceWM Ambulance ServiceNHS (SWB NHS Trust)Sandwell CouncilWM Fire Service
Other (please state):
Full timePart timeShift work
Below £300£300 - £400£400 - £500Above £500
Live with family/friendsRental (private sector)Rental (social housing)Shared ownershipOwner/occupier
Current resident in the UKWork permit
Under 1 year1-3 yearsOver 3 yearsDo not live or work in Sandwell now
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