GUARDIAN APPLICATION FORM Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form.123 IMPORTANT INFORMATION To avoid delays with processing your application, please have the contact details of two referees ready. Recommended browsers: Chrome, Microsoft Edge, or Firefox. Using any other browser may cause issues. If you have blocked all cookies, you may experience problems submitting the form. PLEASE COMPLETE ALL REQUIRED FIELDS MARKED (Required). PROPERTY GUARDIANSHIP ARRANGEMENT This is a Property Guardian licence arrangement and NOT a tenancy. As a Guardian, you do not have the legal rights afforded to tenants under tenancy law. This arrangement offers no security of tenure and can be terminated in line with the licence agreement. You must vacate the property when required. Key Expectations & Rules: The property/room must be kept clean, tidy, and respectful at all times. No damage to the property or any belongings. No alterations, decorations, or additions without prior written permission. No overnight visitors unless agreed in advance with the Property Owner or Supportmatch. No nuisance, disturbance, or inconvenience to the homeowner, neighbours, or others. No large or bulky items brought into the property without permission. Provide around 3 hours per week of light domestic assistance / companionship (such as helping with shopping, light household tasks, or friendly company — normal everyday tasks, not onerous duties). Follow any reasonable house rules set by the Property Owner or Supportmatch. The arrangement is temporary and subject to the terms of the Property Guardianship Licence Agreement. The initial meeting allows both parties to view the property, discuss expectations, routines, boundaries, and ensure the arrangement is suitable before proceeding. RULES, CONDITIONS AND ACKNOWLEDGEMENTS APPLICANT ACKNOWLEDGEMENT By completing and submitting this application form, you are agreeing to our Property Guardian Terms & Conditions . I CONFIRM THAT I WILL NOT USE THE PROPERTY FOR BUSINESS OR PUBLIC EVENTS AND ONLY USE THE PROPERTY FOR RESIDENTIAL PURPOSES (Required)YESNOI HAVE A RELIABLE SOURCE OF FUNDS TO COVER MONTHLY GUARDIANSHIP FEES (As agreed) (Required)YESNOI HAVE A CURRENT UP-TO-DATE DBS CERTIFICATE OR AGREE TO OBTAIN ONE (Required)YESNOI AM ABLE TO PROVIDE A GUARANTOR IN SUPPORT OF YOUR APPLICATION (If Required) (Required)YESNOI AM WILLING TO LIVE WITH ANOTHER INDIVIDUAL OR INDIVIDUALS AND AGREE TO RESPECT THEIR PROPERTY AND PRIVACY (Required)YESNOI AM AUK RESIDENT OR HAVE THE RIGHT TO REMAIN OR HAVE A VISA THAT PERMITS ME TO LIVE IN THE UK (Required)YESNO IMPORTANT RULES: ALCOHOL & DRUG POLICY We operate a strict zero-tolerance policy on illegal drugs and heavy drinking. As a Property Guardian you may be matched with an elderly or vulnerable homeowner. Any use of illegal drugs, or heavy intoxication through alcohol that could make the homeowner feel unsafe or cause disturbance, will result in the IMMEDIATE TERMINATION of your guardianship agreement. You will be required to vacate the property immediately and remove all your belongings. This rule exists to protect vulnerable residents and ensure a safe, respectful living environment. Breaches will lead to instant removal with no notice period. I HAVE READ AND UNDERSTAND THE ALCOHOL AND DRUG POLICY ABOVE AND AGREE TO ABIDE BY IT AT ALL TIMES. (Required)YESNONextSAVE MY PROGRESSGUARDIAN PERSONAL INFORMATIONI am at least 18 Years of Age (Required)YESNOPlease select the relevant Guardianship Application Option: (Required)SINGLE PERSON APPLICATIONCOUPLES APPLICATIONFULL NAME (Required)FirstLastGENDER (Required)FEMALEMALEOTHERDATE OF BIRTH (Required)DD12345678910111213141516171819202122232425262728293031MM123456789101112YYYY202720262025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920A RECENT PHOTOGRAPH FOR IDENTIFICATION PURPOSES (Required) Drag & Drop Files, Choose Files to Upload, or Capture With Your Camera Camera Preview Your photograph is required prior to your registration interview for verification and identification purposes. Acceptable file formats: png, gif, jpeg Maximim File size: 10MbPHONE (Required)EMAIL ADDRESS (Required)ADDRESS (Required)Address Line 1CityState / Province / RegionPostal CodeSelect CountryAfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBolivia (Plurinational State of)Bonaire, Saint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCongoCongo (Democratic Republic of the)Cook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Kingdom of)EthiopiaFalkland Islands (Malvinas)Faroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHondurasHong KongHungaryIcelandIndiaIndonesiaIran (Islamic Republic of)IraqIreland (Republic of)Isle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea (Democratic People's Republic of)Korea (Republic of)KosovoKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesia (Federated States of)Moldova (Republic of)MonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth Macedonia (Republic of)Northern Mariana IslandsNorwayOmanPakistanPalauPalestine (State of)PanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint Martin (French part)Saint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint Maarten (Dutch part)SlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyrian Arab RepublicTaiwan, Republic of ChinaTajikistanTanzania (United Republic of)ThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUgandaUkraineUnited Arab EmiratesUnited Kingdom of Great Britain and Northern IrelandUnited States Minor Outlying IslandsUnited States of AmericaUruguayUzbekistanVanuatuVatican City StateVenezuela (Bolivarian Republic of)VietnamVirgin Islands (British)Virgin Islands (U.S.)Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland IslandsCountryHow did you hear about Supportmatch (Required)--- Select Choice ---SpareroomGoogle SearchBing SearchYahoo SearchSocial MediaReferral from a friend or family memberCareer or Job Posting WebsiteCompany WebsiteOnline Directory ListingsNewsletter or Email CampaignsEvent or Conference AttendancePress Release or Media MentionPodcast or WebinarBlog Posts or ArticlesFlyers, Posters, Radio, TVWord of MouthEducational Institution or Career CenterEMERGENCY CONTACT INFORMATIONEmergency Contact Full Name (Required)Your connection to your emergency contact (Required)RELATIVEFRIENDOTHEREmergency Contact Full Address (Required)Address Line 1CityState / Province / RegionPostal CodeSelect CountryAfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBolivia (Plurinational State of)Bonaire, Saint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCongoCongo (Democratic Republic of the)Cook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Kingdom of)EthiopiaFalkland Islands (Malvinas)Faroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHondurasHong KongHungaryIcelandIndiaIndonesiaIran (Islamic Republic of)IraqIreland (Republic of)Isle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea (Democratic People's Republic of)Korea (Republic of)KosovoKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesia (Federated States of)Moldova (Republic of)MonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth Macedonia (Republic of)Northern Mariana IslandsNorwayOmanPakistanPalauPalestine (State of)PanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint Martin (French part)Saint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint Maarten (Dutch part)SlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyrian Arab RepublicTaiwan, Republic of ChinaTajikistanTanzania (United Republic of)ThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUgandaUkraineUnited Arab EmiratesUnited Kingdom of Great Britain and Northern IrelandUnited States Minor Outlying IslandsUnited States of AmericaUruguayUzbekistanVanuatuVatican City StateVenezuela (Bolivarian Republic of)VietnamVirgin Islands (British)Virgin Islands (U.S.)Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland IslandsCountryEmergency Contact Email (Required)Emergency Contact Telephone (Required)LIVING LOCATIONS & PREFERENCESIMPORTANT: Please Tick Box to Confirm You Understand! (Required)I CONFIRM I UNDERSTAND THAT NO PERSONAL CARE IS PROVIDED UNDER THE SUPPORTMATCH GUARDIANSHIP SCHEME PROPERTY GUARDIANS DO NOT PROVIDE OVERNIGHT ATTENDANCE SUPPORT OR PERSONAL CARE OF ANY KIND. In exchange for affordable accommodation, guardians offer up to 3 hours per week of practical support and companionship. If you have any questions, please call 0203 633 6066 to speak with a Supportmatch Homeshare Coordinator. I PREFER TO SHARE WITH A (Required)FemaleMaleNo Preference1st Choice (City/Town) (Required)2nd Choice (City/Town) (Required)3rd Choice (City/Town) (Required)HOW SOON DO YOU NEED ACCOMMODATION (Required)ASAPWITHIN 1 MONTHWITHIN 3 MONTHSFLEXIBLEPlease note that we cannot guarantee that we will be able to meet your accommodation timelines and in most cases this greatly depends on your flexibility, suitability and alignment with the homeowners own preferences for the type of individual they would like occupying a room in their home.DO YOU HAVE PET (Required)YESNOIntroducing a pet into a homeowners home is at their discretion.WHAT SORT OF PET(S) DO YOU HAVECOULD YOU LIVING WITH SOMEONE WHO HAS A PET (Required)YESNOIT DEPENDSNextSAVE MY PROGRESSABOUT YOUJOB/COURSE TITLE (Required)WEEKLY HOURS (Work/Study) (Required)Describe your Work and/or Studies (Required)Write Not Applicable if you are not working or studyingCompany / Institution Name you are with (Required)Write Not Applicable if you are not working or studying FULL COVER Understand! Integrated Care System (NHS Staff Only)NHS Staff Only!Location of Company/Institution (City/Town) (Required)Write Other or Not Applicable if you are not working or studying.ABOUT YOUR INTERESTS AND ROUTINESBRIEFLY tell us about Your Interests, Hobbies, Personality, Likes, Dislikes and General Personal Preferences (Required)This section is very important and helps us match you with the right Homeowner. Your interests, personality, general nature, likes and dislikes are important in the process of bringing like minded people together. We will refine our search and match process based on your preferences, requirements, character and nature throughout the registration, assessment and subsequent search and matching process.BRIEFLY Describe Your Daily or Weekly Routine (Required)This section is important and will help us assess and determine the best fit Guardianship arrangement with one of our Homeowners.HEALTH AND WELLBEINGHEALTH CONDITIONS (If applicable) (Required)--- Select Choice ---Not ApplicableRather Not SayOTHER (Not listed)Alzheimer's DiseaseAnxietyArthritisBi Polar DisorderCancerCardiovascular DiseaseCognitive DeclineDementiaDepressionDiabetesEndocrine DisordersFood AllergiesGastrointestinal IssuesHearing ImpairmentHigh Blood PressureMemory LossMobility IssuesOsteoporosisParkinson's DiseaseRespiratory DiseaseSleep DisordersStrokeUrinary/Bowel IssuesVision ImpairmentOther Not ListedAutoimmune DisordersChronic Kidney DiseaseLiver DiseaseChronic Fatigue SyndromeMultiple SclerosisEpilepsyPsychotic DisordersHIV/AIDSThyroid DisordersSensory Processing DisordersChronic Pain ConditionsOTHER (Not Listed)Briefly describe your health conditionARE YOU A SMOKER (Inc. Vaping) (Required)YesNoCOULD YOU LIVE WITH A SMOKER (Required)YesNoIt DependsREFERENCES (Your referees)We will require at least two references to compliment your application, one of which must be either academic or professional and the other can from a current or previous (recent) landlord)REFEREE ONE CONTACT INFORMATIONYou will be able to provide the details of your referees who can provide references at a later stage if their details is not readily available now.Referee 1: Full NameIf you are unable to provide the details of your referees please write TBC hereReferee 1: TypePROFESSIONALACADEMICOTHERReferee 1: Email AddressWe will not contact any referee until you have completed registrations, approval and onboarding for Guardianship.Referee 1: TelephoneWe will not contact any referee until you have completed registration, approval and onboarding for Guardianship.REFEREE TWO CONTACT INFORMATION (REQUIRED)You will be able to provide the details of your referees who can provide references at a later stage if their details is not readily available now.Referee 2: Full NameIf you are unable to provide the details of your referees please write TBC hereReferee 2: TypePROFESSIONALACADEMICOTHERReferee 2: Email AddressWe will not contact any referee until you have completed registrations, approval and onboarding for Guardianship.Referee 2: TelephoneWe will not contact any referee until you have completed registration, approval and onboarding for Guardianship.FINAL DECLARATION AND AGREEMENTDeclaration and Agreement (Required)I agree to respect and abide by the Support&Match CIC Property Guardianship Licence Agreement and all associated house rules.agree to pay the monthly Guardianship Licence Fee on time by Standing Order, Direct Debit, or approved online payment method.I agree to allow Support&Match CIC and Supportmatch Homeshare Ltd to collect, store, and use my personal data for the purposes of processing my application, administration, matching, and ongoing guardianship management.I agree to undergo an Enhanced DBS check and provide suitable references as required.I confirm that I have understooI confirm that all the information I have provided in this application is true and accurate to the best of my knowledge. I have read, understood, and agree to be bound by the Support&Match Guardianship Terms and Conditions of Service.d the information in my application, and that the information I have provided is to the best of my knowledge accurate, and that I have read, understood and accept the Guardianship Terms and Conditions of Services Privacy Notice: By submitting this form, you confirm that you understand Supportmatch will use the information provided to assess your enquiry or application, carry out suitability and safeguarding checks, arrange introductions where appropriate, prepare agreements, provide ongoing support, manage payments and comply with legal obligations. Some information may be sensitive, including health, disability, safeguarding, identity or DBS-related information. We will only collect, use and share information where necessary, proportionate and lawful. Please read our Supportmatch Group GDPR, Privacy and Data Protection Policy before submitting this form. SUBMITSAVE MY PROGRESS Your form entry has been saved and a unique link has been created which you can access to resume this form. Enter your email address to receive the link via email. Alternatively, you can copy and save the link below. Please note, this link should not be shared and will expire in 30 days, afterwards your form entry will be deleted. Copy Link Email * Send Link