Home Share Application Form for Home Providers and Seekers

The information obtained will be used solely for the purpose of allowing us to start the process of finding a suitable home sharer for you.

General Information

Name

Preferred Name

Address

Gender Identity

Home phone

Cell

Age

How did you hear about the Home Share Program?

Community Agency Presentation Social Media Word of Mouth

What time of day is best to reach you?

Morning Afternoon Evening

What best describes your living situation?

Home provider (People who are interested in sharing their house, condo, or apartment) Home seeker (People who are looking to share a living arrangement with someone who has a house, condo or apartment)

Home providers

Please provide a brief description of the space in your home that you are interested in sharing with a home seeker.

Please provide a brief description of what is most important to you in a home sharer and a home sharing arrangement.

Home seekers

Please provide a brief description of the type of space in a home that you would like to share with a home provider.

Please provide a brief description of what is most important to you in a home sharer and a home sharing arrangement.

Additional comments

Please share any additional thoughts or questions you may have.