Community Chest Panel - application form

Personal details

Please complete the following sections. If you need any help or advice to complete this form please contact the resident involvement team on residentinvolvement@wkha.org.uk or 01732 749420.

Question Title

* 1. Please can you provide your name and contact details.

Name

Address

City/Town

Postal Code

Email Address

Phone Number

Question Title

* 2. Please tick all that apply.

I am a West Kent tenant

I am a leaseholder

I am a shared owner