SELF BUILD REGISTRATION FORM
If you do not want your personal details to be retained, please do not provide this information. However, if that is the case, the Council will not contact you further about self-build opportunities should more information become available.

Any identifying details on the public register, such as an email address, will be redacted (blanked out) by the Council. 

In accordance with the Regulations, if the applicant is an Association the following information needs to be provided:

1.	the name and address of the Association;
2.	the name and address, date of birth and nationality of each member of the Association;
3.	the name and address (if different from the address of the Association) of the lead contact;
4.	confirmation that each member of the Association is seeking (either alone or with others) to acquire a serviced plot of land in the Stratford-on-Avon District area to build a house to occupy as that individual’s sole or main residence; and
5.	the number of serviced plots of land in the Stratford-on-Avon District area the members of the Association are seeking to acquire.

If you are an Association, please contact the District Council for a specific registration form.

1.	Your contact details:

Name:		
Address: 	

Telephone:		
E-mail: 		

Filling in the rest of the form will help the Council to identify the level of demand/interest in self-build and the nature of plots that people are interested in acquiring.

2.	Circumstances
Are you over 18?
 Yes
 No

Your nationality 
UK Citizen
European Economic Area Citizen
National of Switzerland
None of the above

Your connection to Stratford District: 
Select all that apply: 
Live in the district
Work in the district
Have close family/partner's family in the district
Member of the Armed Forces
None of the above

Are you on the Council's housing register?   YesNo

3.	Financial considerations
You are advised to obtain appropriate financial advice from a professional before committing yourself to a self-build or custom build project.
What method will you use to finance your project? 
Mortgage
Part owned or otherwise subsidised
Own outright

What is your overall budget for buying a plot and building a property?
 Up to £50,000
Up to £150,000
Up to £250,000
More than £250,000

Would you need to sell your current house to enable you to proceed with a self-build project?
Yes
No
Currently renting

4.	Preferred location and type of plot
The Council cannot guarantee that it will be able to provide plots in a preferred area but it will be useful to understand the broad location(s) that potential self-builders are interested in.
Select all that apply:
 Alcester area
 Bidford-on-Avon area
 Henley-in-Arden area
 Kineton area
 Shipston-on-Stour area
 Southam area
 Stratford-upon-Avon area
 Studley area
 Wellesbourne area
 Other - please specify  

 No preference

What nature of site are you looking for?
Select all that apply:
 A freestanding individual plot
 On a small-scale development comprising entirely or mainly self-build plots
 Within a large housing development

What type of property do you wish to build?
Select all that apply:
 Detached house
 Detached bungalow
 Terraced (as part of group build)
 Semi-detached (as part of group build)
 Apartment / flat (as part of group build)
 Other – please specify

How many bedrooms would you require? 
Select all that apply:
 One
 Two
 Three
 Four
 More than four

Declaration 
Please tick the following boxes if you agree to the terms:
I confirm that I am seeking to acquire a serviced plot of land in the Stratford-on-Avon District area to build a house to occupy as my sole or main residence.
 I confirm that the custom build house would become my main residence for at least three years after completion.

Please email this form to planning.policy@stratford-dc.gov.uk
Or print it off and post to:
	Planning and Housing Policy Team
	Stratford-on-Avon District Council
	Elizabeth House
	Church Street
	Stratford-upon-Avon 
	CV37 6HX

This information is collected by Stratford-on-Avon District Council as data controller in accordance with the data protection principles in the Data Protection Act 1998. The District Council is collecting data to assess demand for self-build development under the Right to Build Register of Interest. Information will be securely shared between departments of the Council but will not be shared with any other parties. Any information submitted that is or becomes surplus to requirements will be securely destroyed.