ALOTRA, association for workers’ accommodation

Your identity

*Title :

Mrs

*Lastname :

Birthname :

*Firstname :

Birthdate :

Birthplace :

*Nationality :

French

Other

Home country :

Type of residence permit :

Ending validity date :

Current address :

*Phone number :

Email :

Your family status

*Family status :

*Number of children :

*dependent :

Particular situation :
E.g: family reunification, engaged, birth, etc.

Housing people :
Click the Add a person button, followed by 'Person X'
and then fill in all fields

Your socio professional status

For all amounts, enter only integer digits without any space or any other character. E.g: 1500. Don't enter the 2 digits after the decimal point.

*Work situation :

*Type of employment :

*Employee since :

* The end date of contract :

*Name, address and phone number of the employer. :

*Please indicate :

*Amount of monthly income :

€

*Amount of taxable income for the year :

€

*Amount of taxable income for the year Y-1 :

€

*Amount of taxable income for the year Y-2 :

€

*Type of resources :

Wage

€

Active solidarity income (RSA)

€

Allowance for disabled adults (AAH)

€

Allowance paid by the Social Security

€

Unemployment benefits (ARE)

€

Special solidarity allowance (ASS)

€

Scholarships

€

Alimony

€

*Specific expenses :

Alimony

€

Credits

€

Loan Housing Solidarity Funds (FSL)

€

Bank loan

€

Others

€

Your pathway housing

*Your current housing situation :

Homeless

Into emergency shelter

In expulsion procedure

In professional transfer

At the end of the leasehold

Living with a third

Departure from the marital home

Other

Please indicate :

*Have you ever been accommodated by ALOTRA ?

Yes

At which housing ?

*Have you a social adviser?

Yes

Name of the social adviser :

Structure of the social adviser :

Phone number of the social adviser :

Email of the social adviser :

*Are you enrolled in SIAO?

Yes

Your housing application with ALOTRA

Type of accommodation you require :

Flatshare

Room

Studio

Other

Please indicate :

Desired characteristics :

Lift

Parking

Floor

Specially adapted for disabled

Other

Please indicate :

Additional information :

* In accordance with article 13 of the GDPR 2016/679, I declare that I have read the information note relating to the protection of personal data and I authorize ALOTRA to process my personal data.

Demande de logement en ligne

Your identity

Your family status

Your socio professional status

Your pathway housing

Your housing application with ALOTRA