Host Registration Form Full Name - (internal use only) * Email - (internal use only)* Phone — Please include area code - (internal use only) * Address - (internal use only) * Which region of the island is your homeshare located? *Select...WhaletownSquirrel CoveManson's LandingOther Age - (internal use only)* Gender * Which of the following housing arrangements best describes your listing? *Entire HomeSuiteCabin (under 600 sq. ft.)Bedroom with shared amenitiesMobile home or RVSite for tenant's moveable homeSite for tenant to build a permanent homeShared Ownership / Land What amenities are included? Select all that apply. *ElectricityGasWaterSewerInternetLandlineFirewoodLaundryStoveOvenRefrigeratorFurnishings Create a name for your listing (eg. Cosy room near the Gorge) * Please share more about your HomeShare opportunity — describe the space in more detail and the type of tenant and living arrangement you are looking for. You may also include any terms or non-negotiable agreements for your listing. How many bedrooms are available? *Select...12345+ How many people can it sleep? *Select...123456+ What is the monthly rent you are asking? Please use numeric values only (ex: 2200)* How long would you like to offer this opportunity? *Select Rental TermMonthly2-6 months1 year2 yearsOther If other than above, please describe the rental term you are looking for Would you be open to offering a rental subsidy in exchange for assistance around the home/property? *Select...YesNo If yes, which tasks would you like help with? Select all that apply.CleaningGardeningYardworkFirewoodRepairsCookingErrandsChildcareOther Are there any pets on the property? If so, please describe.* Do you welcome pets on the property? If so, what are your requirements?* Do you allow smoking?* Please check the boxes that best represent you: *Smoker (tobacco, marijuana, vape)Non-smokerVegetarianVeganSober Are you open to sharing your home with: (please select all that apply) *MaleFemaleNon-binaryCoupleChildrenAll are welcome Are there any additional housing arrangements that you would be open to hosting? Select all that apply.Entire HomeSuiteCabin (under 600 sq. ft.)Bedroom with shared amenitiesMobile home or RVSite for tenant's moveable homeSite for tenant to build a permanent homeShared Ownership / Land Do you have any medical conditions? If so, please describe. - (internal use only)* What motivates you to share your home? - (internal use only)* File(s) Add another file Public or Private Listing *I would like to create a public Homeshare Listing. All items labelled for internal use only will be kept private (they will not be published).I would like all of my information to be kept private, for internal matching purposes only. Please do not publish on the Homeshare Listings page.
