Ōwenga Rental Application Form

Please complete this application form if you are interested in renting the house MIST has available at 2151 Waitangi Wharf Ōwenga Road, Chatham Islands.

Name

First Last

Phone

Current address

Occupation

Please detail who else would be living in the house (names, ages)

Please explain your circumstances - would you be looking to rent long-term or short-term, when would you want to move in, do you have any special needs to be considered etc?

What is your primary source of income? (Are you working, parenting, running a business etc)

Please provide contact details for two rental referees

Is there any other information in support of your application you would like to include?