Sharer Application Form
  • Interested in becoming a Sharer?

    Interested in becoming a Sharer?

    Please complete the form and we will get back to. All our Homeshare placements are for single people ONLY
  • Date of application
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  • Date of Birth*
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  • Where did you see this opportunity?*
  • Can you commit to at least 10 hours of practical help each week?
  • Will you be able to be home at a reasonable time four evenings per week?
  • Can you commit to sleeping in the house at least 6 nights per week -except for occasionally weekends and holidays? (please note if you do wish to stay out one night a week it should not be every Saturday night)
  • Do you smoke or vape ?
  • Can you cook?
  • Have you ever done a First Aid course
  • Do you hold a driving licence valid in the UK
  • If you drive do you have a car
  • Can you commit to a year in a Homeshare?
  • As part of the vetting process to become a Sharer you are required to supply the name, e-mail address and telephone number of three references which should ideally include a recent employer and at least one character reference. Please confirm you can supply these? Please note references are not sought until after you are interviewed.
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  • Date
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  • Should be Empty: