HomeShare ATL Inquiry Form

We are excited that you are interested in learning more about HomeShare ATL. Please fill out the following form. You should expect a reply within 5 business days.

Our program offers two types of Home Sharing:

A Home Provider is matched with a Home Seeker who pays rent
A Home Provider is matched with a Home Seeker who exchanges household duties for reduced rent

Homes must be located within Cobb, DeKalb, Fulton, or Gwinnett counties. Both the home provider and the home seeker will need to be a minimum age of 21 and one participant will need to be the age of 60 or above for a match to be considered. Matches for eligible candidates will be suggested and filled based on need and compatibility rather than a waiting list position. The application process requires all applicants to be fully vetted.

Before completing this form I understand this program is not a solution for people who need emergency housing, are without proof of COVID-19 vaccinations, without personal references, or are homeless. Participation requires a trial match prior to signing a Georgia lease. If the trial is not successful the housemate will need to move out, therefore the applicant must have alternate housing to return or move to.

After completing the form, click the SUBMIT button at bottom. Thank you for your interest!

First Name *

If you are completing this form on the behalf of someone else, please use their name and personal information. Please include your contact info and relationship at the end of the form prior to submitting.

Last Name *

Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code

County

Phone Number *

*Please note, our office does not send or receive text messaging.

Email *

example@example.com

I am a home owner potentially interested in a housemate. *

I am a home seeker wanting to move into an established home. *

I am asking on behalf of another person. *

If you answered yes to the previous question, what is your relationship to the person you are filing for?

I am age 60 or older. *

Date of Birth *

Date

Gender *

I am a current client of JF&CS. *

I heard about HomeShare ATL from... *

I was referred by another agency. *

If you answered yes to the previous question, which agency or person?

My current employment status or if retired, source of income: *

My current housing situation: *

I want to home share because... *

I would want my home share arrangement to last for... *

Please provide us with any additional information including concerns and/or questions you may have about home sharing.

If this form was completed by someone other than potential applicant:

Name:

Relationship to Potential Applicant:

Email:

Phone: