Data Protection Agreement *

• I agree to the data protection statement above..
• I am over 18 and a citizen of the European Economic Area.

About You

Title

First Name

Surname

Address

Postcode

Telephone

Email address

Q1. How would you like to be contacted in the future? (please tick all that apply)

• By post
• By email
• By telephone

Q2. Are you part of a group or association? If so please give details including contact details.

Q3. Do you have any local connection to the North York Moors National Park Authority Area?

• I currently live in the National Park and have lived permanently within the area for at least the three previous years;
• I work permanently within the area (meaning a full time job or part time employment of at least 16 hours per week);
• I have an essential need to live close to relatives who are currently living in the National Park, have resided in the Park for at least the previous 3 years and require substantial support;
• I have an essential requirement for substantial support from relatives who are currently living in the National Park and have resided in the Park for at least the previous 3 years;
• None of the above (ticking this box will mean you can only be included on Part 2 of the Register.

Q4. Are there any other particular circumstances which may justify a need to live within the National Park?

Site or plot requirements

Q5. What type of custom or self or custom build project are you seeking to carry out? (please tick all that apply)

• Individual self-build (including off-site manufactured kit home) - you will oversee the design and build
• Group custom build - you will input into the design as part of a wider group build which includes purchasing a fully serviced plot from a developer on which to build
• Community self-build - you will develop homes as part of a Community Group

Other - please explain below

Q6. Please write below all the area(s) you would be interested in that are within the National Park (where possible, please refer to the names of parishes, villages or settlements, so that you application can be interpreted accurately)

Q7. What size plot (approximately) are you looking for?

• Smaller than 100 square metres
• 100-250 square metres
• 250-500 square metres
• 500-1,000 square metres
• Larger than 1,000 square metres

Q8. How many bedrooms would you prefer?

• One
• Two
• Three
• Four or more
• Undecided

Your circumstances

Q9. How soon can you start building?

• Ready to go now
• Within the next twelve months
• Within the next five years

Q10. How do you intend to finance your home?

• Self funded - funding is in place
• Self funded - I will require a mortgage but expect this will be forthcoming
• Alternative funding will be required
• As shared ownership with a Housing Association

Q11. Do you already have a plot in mind for your project?

• Yes (owned)
• Yes (not owned)
• No

If yes, please provide details (including a map with the boundaries shown if possible)