Host Registration Form Full Name - (internal use only) * Email - (internal use only) * Phone — Please include area code - (internal use only) * Address * Age - (internal use only) Gender * Housing Arrangements *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 Amenities *ElectricityGasWaterSewerInternetLandlineFirewoodLaundryStoveOvenRefrigeratorFurnishings Bedrooms *Select...12345+ How many people can it sleep?* Please include detail about sleeping arrangements and if the space is appropriate for children. What is the monthly rent you are asking?* How long would you like to offer this opportunity?* *Select Rental TermMonth-to-month6 months1 year2 yearsOther 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 If other than the above, please describe the rental term you are looking for.* 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-binaryCoupleChildren Do you have any medical conditions? If so, please describe. - (internal use only)* What motivates you to share your home? - (internal use only)* Please upload a featured image of your space.* *Upload an image file (JPG, PNG, GIF) Please upload at least 4 supporting photos of your space (eg. bedroom, bathroom, kitchen, property)* Add another file 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 non-negotiable agreements for your listing.* I agree to have the starred information posted publicly to the Cortes Housing Society Homeshare Listings. All items labelled for internal use only will not be published. Put terms here.
