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Application to host Ukrainians June 2022
Please complete this form if you have registered with the Government Homes For Ukraine Scheme and are still in the position to host Ukrainians on the Isle of Wight
Personal details
Title
Mr
Mrs
Miss
Ms
Other
Your name
(Required)
First
Last
Full Address
(Required)
Town / Village
(Required)
Postcode
(Required)
Email
(Required)
Phone Number
(Required)
Alternative Number
What type of accommodation you can offer?
(Required)
Rooms in your home with access to shared facilities
A self-contained property
Multiple properties
Please give details
Number of single bedrooms available
(Required)
Number of double rooms available
(Required)
How Long Can You Offer Accommodation?
(Required)
At least 6 months
6 – 9 months
More than 12 months
Step Free Access Accessibility?
Yes
No
Please give details
Who can you accommodate?
Single person
Family with children
Please give details
Are you prepared to accept a family at short notice?
Yes
No
Would you be willing to provide emergency accommodation for a few days or weeks?
Yes
No
Pets allowed?
Yes
No
Anything else you would like to tell us about your accommodation of circumstances?
Can we contact you for more details in the future?
(Required)
Yes
Please tick this box in order for us to contact you regarding the Ukraine volunteer effort. If you do not tick this box, we will not be able to contact you.
Permission to share your details with IW Council
(Required)
Yes
Please tick this box to allow us to share your details with IW Council
Privacy Statement
Please tick this box to state that you have read the privacy statement, and agree for the information you have provided in this form to be used as stated
(Required)
Yes, I have read the and agree for the information you have provided in this form to be used as stated
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