Home Sharing Screening Form
Welcome to The Lilypad Initiative Host Application. 🌿 Thank you for considering opening your home to another woman through Lily. What you are doing matters. This application takes about 10 minutes to complete. Please be honest and thorough. Every answer helps us find you the most compatible guest possible. Your information is private and will only ever be seen by the Lily team. Before we dive in, let us make sure we can serve you right now.
Before we get started, please confirm your location.The Lilypad Initiative is currently accepting applications in Tampa Bay and Sarasota, Florida only. We are expanding to additional cities in 2026 and beyond.Which best describes your situation?
*
Option A: Tampa Bay or Sarasota, Florida. I am ready to apply.
Option B: Outside of Tampa Bay or Sarasota. Thank you so much for your interest in The Lilypad Initiative. We are not yet serving your area, but we are growing, and we do not want you to miss out. Please complete the first half of this application and you will be among the first to know when Lily comes to your city. (You can also visit our website: www.thelilypadinitiative.com and sign up there).
Full Legal Name
*
First Name
Last Name
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Email Address
*
example@example.com
Current City
*
State
*
ZIP Code
*
How did you hear about us?
*
Please Select
Facebook/instagram ad
Google search
Friend/word of mouth
Nextdoor
News article
Sweepstakes/giveaway
Facebook group
Other
If you you have a home in Tampa or Sarasota, please complete the following.
Type of Property
Please Select
Single-family home (I own)
Single-family home (I rent, landlord approved)
Condo/Townhouse (I own)
Condo/Townhouse (I rent, landlord approved)
Apartment (I rent, landlord approved)
Number of Bedrooms
Is the property furnished?
Yes
No
Partially
When is the property available?
 -
Month
 -
Day
Year
Date
How soon do you need to rent your room?
ASAP
1-2 Months
3-6 months
I'm Flexible
What is the estimated monthly rent (all utilities and amenities included)?
What are you hoping to get out of sharing your home?
Financial help with mortgage/rent
Companionship and connection
Shared household responsibilities
Built-in community/friendship
Safety (not living alone)
Someone to share meals with
Other
I authorize The Lilypad Initiative LLC to receive and review a consumer report obtained through OneSource, Inc., an independent third-party consumer reporting agency, in connection with my application for host membership on the Lily platform. I understand that I will complete and pay for my background screening directly through OneSource and that Lily will receive my results solely to evaluate my eligibility for platform membership. I have received and reviewed Lily's standalone Background Check Disclosure document prior to submitting this application.
*
Yes, I agree
I have read and agree to The Lilypad Initiative
Terms of Service
and
Privacy Policy
.
*
Yes, I have read and agree.
Submit Application
Should be Empty: