Improving people’s lives in Northern Ireland

Housing with care
at Kirk House

Online Application Form

If you would like to be considered for a flat, please download and complete an application form or use the online application form below and you will be placed on the Waiting List. If a vacancy should arise a member of our team will contact the next person on the list.

Please note that fields marked with * are required.

Even if privately funded, you are entitled to have a care manager to...

Care Manager
Address Details
GP
Next of Kin
Form Completed By