Emergency Accommodation Application (CMAA)

Emergency Accommodation Application

THANKS TO CONVOY OF HOPE & AIRBNB
Convoy of Hope have partnered with Airbnb to provide up to 14 days of emergency accommodation for families left homeless due to the current NSW flood emergency. Availabillity is limited, so please fill out this form to make application. Verified applications will be contacted asap and connected with airbnb for final verification. Successful applications will be provided up to 10-14 days of airbnb credits to use at available airbnb properties.
Date

DayMonthYear
2 digit day, 2 digit month, 4 digit yearDate
Guest Name

First NameLast Name
Number of Adults
Number of Children
Number of Pets
Email Address
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Permanent Address

Street Address

Street Address Line 2

City

Post Code
Are you a first responder?
Upload Front of License or Government Issued Photo ID

Cancelof
Consent Information

Please read the following information carefully and indicate your consent by checking the box below. By checking the box, you agree that your personal data may be collected and processed for the following purposes: shared by Convoy of Hope Australia Ltd to Airbnb and Airbnb.org. You also agree that your home was affected by the recent flooding in NSW and is the reason you are seeking emergency accomodation.
Terms and Conditions
Signature
Should be Empty:

Emergency Accommodation Application