London Hosting – Host Application

NB. Please read our FAQ for hosts before completing this form. If you would like to discuss any aspect of hosting, please contactBrian Ball at

Personal Details
Name
Date of Birth / Male □ Female □
Telephone
Address:
email:
Employment Status: Full-time □ Part-time □ Student □ Unemployed □ Student □
Experience and Motivation
Please tell us why you are interested in hosting and what you may be apprehensive about:
Do you have any experience of hosting or other relevant experience (e.g. voluntary work)
Languages spoken (please indicate fluency – basic, intermediate, advanced, native)
Your Household
Is there anyone else living with you? (Please give details)
How do they feel about hosting?
What accommodation will you be able to offer? (e.g. spare room with double/single bed, sofa bed in lounge, use of kitchen/lounge, other)
Can you provide meals? (you are not required or obligated to do so, but it is useful for us to have this information)
Hosting Preferences
Do you have any preferences regarding the guest’s gender/age/background?
How long are you able to host for?
Emergency (1-2 nights) □ short term (3 days -2 weeks) □
Medium term (2-6 weeks) □ long term (6+weeks) □
If you can only provide space for short-term periods, how frequently would you be prepared to do so? (e.g. once a week/a fortnight/a month)?
Are there particular times (e.g. school holidays) when you will not be able to host?
Health & Safety
Do you have any unspent criminal convictions?
Yes □ No □
Please give details:
Do you have a DBS check?
Yes □ No □ Date:
Do you have any health conditions or disabilities, which we may need to be aware of?
References(Please give two names of people who can provide character references)
Name:
Position:
Relation:
Address:
Tel:
Email: / Name:
Position:
Relation:
Address:
Tel:
Email:

I declare that the information given in this application is true and correct.

Name / Signature / Date

Please send your completed and signed application form to Brian Ball at Housing Justice, 256 Bermondsey Street, LONDON SE1 3UJ, or email it to .A member of London Hosting will be in touch with you shortly.

London Hosting will treat all information that you have provided in this application form as confidential. We will not discuss it with third parties without your consent.