Refugees At Home

Please complete this form with as much information as you can, that accurately reflects your current situation. Missing information can slow down our matching process and lead to delays.

I have read the guidance and understand the responsibilities I take on when referring myself to Refugees at Home

I consent to the use of my personal data in accordance with Refugees at Home privacy policy

How does the main guest identify their gender?

If other, please indicate the main guest gender

Do you speak English?

How would you describe your level of spoken English?

Do you, or anyone you are applying with, have any known mental health conditions?

Please provide details about the severity of your mental health condition (symptoms, triggers, etc)

How would you describe your mental health at the moment?

Do you, or anyone in your group have any dietary needs?

If yes, please tell us about the dietary needs of the guests

Are there other things that we should be aware of?

Please tell us a little more about you i.e. what you do in your spare time, personality and how you interact with others

Please tell us about your plans for accommodation after hosting, if we were able to find a short term host for you

Many of our hosts have pets who live in their homes, would you be willing to stay with a host who has a pet?

If you are not willing to live with a pet, please tell us why

I agree that all the information provided is true and accurate

I confirm that I understand the scope of services being provided by Refugees at Home