Host Homes Application

Finally Family Homes: Host Homes Application
Thousands of youth in the Los Angeles area experience homelessness every year. Finally Family Homes's Host Homes provide short-term housing to young adults ages 18-26 (primarily college students and foster youth) who are at risk of or experiencing homelessness.

We recruit, screen, and train local Host Home families to provide a stable, safe place for these youth to build lasting connections and long-term independence.

By completing this application, you are indicating that you are interested in becoming a Host Home family.

Thank you so much for your consideration in serving!
Your Name*

First NameLast Name
Email*
example@example.com
Phone Number*
Preferred Contact Method

PhoneTextEmail
Birthdate*

MonthDayYear
Date
Gender*
Gender
Marital Status*
Occupation*
Are you applying with a co-applicant? A co-applicant is an adult who is on your leasing agreement or property deed.*

YesNo
Co-Applicant's Name, if applicable (A Co-Applicant is an adult who is on your leasing agreement or property deed).

First NameLast Name
How did you hear about Finally Family Homes' Host Homes Program?*
Residence Information

Please share information about the home where you would host.
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Household Members*
Please list other members living in the home. Provide the full name, age, and relationship to the family for each person. If there are no other members, please enter "N/A" in the text box.
How long have you lived in your current residence? *
Housing Type (check all that apply)*

OwnedRentedSingle-Family HouseMobile HomeMulti-UnitBasement UnitSecond FloorApartment/Condo
Are you able to provide an extra bedroom/private space for a youth?*
Are you able to provide a bedroom/private space for a youth?

YesNo
Do you have any pets that live in the home?*

YesNo
How many pets live in the home?*
How many pets live in the home and what kind of pets are they? (i.e. dog, cat, etc.)
Do you have any firearms in the home?*
Do you have any firearms in the home?*

YesNo
If yes, how are these firearms stored?
Do you have renter's or homeowner's insurance?*
Do you have renter's or homeowner's insurance?*

YesNo
Do you have a valid driver's license?*
Do you have car insurance?*
Do you have a valid driver's license?*

YesNo
Do you have car insurance?*

YesNo
Does anyone in your household smoke?*

YesNo
Does anyone in your household consume alcohol?*

YesNo
Does anyone in your household smoke?*
Does anyone in your household consume alcohol?*
Does anyone in your household use drugs? If so, please explain.*
What kind of medications are they?
Emergency Contact Information
Emergency Contact Name*

First NameLast Name
Phone Number*
Please enter a valid phone number.
References

Please list three non-relative references who have known you for 2 years or more and can describe your personal and professional capacity to be a good host. Please include at least one reference from past employment or volunteer opportunities.
First Reference's Name*

First NameLast Name
Your Relationship to the First Reference*
Phone Number*
Please enter a valid phone number.
Email*
example@example.com
Second Reference's Name*

First NameLast Name
Your Relationship to the Second Reference*
Phone Number*
Please enter a valid phone number.
Email*
example@example.com
Third Reference's Name*

First NameLast Name
Your Relationship to the Third Reference*
Phone Number*
Please enter a valid phone number.
Email*
example@example.com
Matching

The following information will help us in matching you with a guest.
Why are you interested in being a Host Home?*
What would be the characteristics of a youth you would wish to host?*
What would be the characteristics of a youth you would NOT wish to host?*
Please tell us about you! What are your strengths, experiences, skills, or relevant things about you that you would like to share with us?*
Please describe any background you may have in dealing with youth who have experienced trauma / foster care.*
What languages are spoken in your home?*
Do you practice a particular faith in your home?*
How comfortable would you be with a guest who does not share your religion / faith?*
How comfortable would you be with a guest who does not share your views on gender identity?*
How comfortable would you be with a guest who does not share your religion / faith?*

1

2

3

4

5

1 is Very Uncomfortable, 5 is Very Comfortable
How comfortable would you be with a guest who does not share your views on gender identity?*

1

2

3

4

5

1 is Very Uncomfortable, 5 is Very Comfortable
How comfortable would you be with a guest who does not share your views on sexual orientation?*

1

2

3

4

5

1 is Very Uncomfortable, 5 is Very Comfortable
How comfortable would you be with a guest who has a physical disability?*

1

2

3

4

5

1 is Very Uncomfortable, 5 is Very Comfortable
How comfortable would you be with a guest who has a cognitive disability?*

1

2

3

4

5

1 is Very Uncomfortable, 5 is Very Comfortable
How comfortable would you be with a guest who has a mental health issue?*

1

2

3

4

5

1 is Very Uncomfortable, 5 is Very Comfortable
How comfortable would you be with a guest who smokes?*

1

2

3

4

5

1 is Very Uncomfortable, 5 is Very Comfortable
How comfortable would you be with a guest who drinks alcohol?*

1

2

3

4

5

1 is Very Uncomfortable, 5 is Very Comfortable
How comfortable would you be with a guest who uses marijuana?*

1

2

3

4

5

1 is Very Uncomfortable, 5 is Very Comfortable
How comfortable would you be with a guest who has a child?*

1

2

3

4

5

1 is Very Uncomfortable, 5 is Very Comfortable
How comfortable would you be with a guest who does not share your views on sexual orientation?*
How comfortable would you be with a guest who has a physical disability?*
How comfortable would you be with a guest who has a cognitive disability?*
How comfortable would you be with a guest who has a mental health issue?*
How comfortable would you be with a guest who smokes?*
How comfortable would you be with a guest who drinks alcohol?*
How comfortable would you be with a guest who uses marijuana?*
How comfortable would you be with a guest who has a child?*
Host Home Policies

There are a number of policies that Host Homes participants must agree to in order to be accepted and matched with their guest. Please review the policies at the link below and indicate your agreement electronically below by selecting the checkboxes next to each statement.
https://finallyfamilyhomes.org/host-resources/
Acknowledgement of Policies*

I acknowledge and accept the Waiver of Liability.I acknowledge and accept the Host Home Provider Conduct Policy.I certify that I have read, understood, and accept Finally Family Homes' policies.I understand that the above mentioned checks and screenings are required.By signing below, I acknowledge that I have read, fully understood, and agree to all policies of Finally Family Homes.Photo Waiver (optional)
Volunteer Candidate Signature*

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Finally Family Homes: Host Homes Application

Residence Information

Emergency Contact Information

References

Matching

Host Home Policies