Head Office:0203 633 6066
Make an Enquiry

GUARDIANSHIP HOMEOWNER APPLICATION FORM

HOMEOWNER/HOUSEHOLDER PERSONAL INFORMATION

Welcome to Supportmatch Homeshare.

Please use this Application Form if you are the Homeowner and would like to register for our Property Guardianship Scheme, wherein you will receive a fixed amount each month that you request for a room you are happy to offer to a NHS Key worker, social worker, professional or mature student.

The Majority our Guardians and Homesharers are working professional, Mature Students, Key Workers (Doctors, Nurses, Carers) who are in need of Affordable Accommodation.

Terms & Conditions: By completing and submitting this Property Guardianship Service (PGS) application you are agreeing to our Terms and Conditions.Terms & Conditions: By completing and submitting this Property Guardianship Service (PGS) application you are agreeing to our Terms and Conditions.

FULL NAME (Required)

HOMEOWNER/ HOUSEHOLDERS FULL NAME

GENDER (Required)
DATE OF BIRTH (Required)
ADDRESS (Required)
ARE YOU THE PROPERTY OWNER (Required)
IS THE PROPERTY UNDER A HMO OR SELECTIVE PROPERTY LICENCE (Required)
Note: HMO is a House of Multiple Occupancy
DO YOU HAVE A CURRENT GAS SAFETY CERTIFICATE FOR THE PROPERTY (Required)
This is important for your safety and that of any Guardian guest that you licence a room to.
DO YOU HAVE WORKING SMOKE & CARBON MONOXIDE ALARMS IN THE PROPERY (Required)
This is important for your safety and that of any Guardian guest that you licence a room to.
ARE YOUR ELECTRICAL HOME APPLIANCES AND PLUG SOCKETS SAFE AND COMPLIANT (Required)
This is important for your safety and that of any Guardian guest that you licence a room to.

EMERGENCY CONTACT OR NEXT OF KIN (NOK)

We Recommend That All Our Homeshare Householder provide us with an Emergency Contact.
NOK Full Address (Required)
NOK Relationship to Householder (Required)

CONTACT & POWER OF ATTORNEY INFORMATION

Where Applicable Please Provide Information about any person who has Power of Attorney Responsibility in relation to the Homeshare Householder Applicant.
POA: Does a Power-of-Attorney Authority Exist for the Householder (Applicant)? (Required)

ACCOMMODATION/SPAREROOM OFFERED BY HOMEOWNER/HOUSEHOLDER/TENANT

IMPORTANT: Please Tick Box to Confirm You Understand! (Required)

PROPERTY GUARDIANS DO NOT PROVIDE OVERNIGHT ATTENDANCE SUPPORT OR PERSONAL CARE OF ANY KIND. HOWEVER, IN EXCHANGE FOR AFFORDABLE ACCOMMODATION YOU OFFER TO A GUARDIAN; WILL OFFER UP TO 3 HOURS PER WEEK OF PRACTICAL SUPPORT AND/OR COMPANIONSHIP.


If you have any questions or concerns please call 0203 633 6066 to discuss this with a Supportmatch Homeshare Coordinator.
Property Guardian Room Occupancy Preference (Required)
What is the Type/Size of the Accommodation you are offering (Required)
Bathroom Facilities Offered (Required)
Each room will generate a fixed monthly income for you the Homeowner. The Homeowner instructs us on how much they would like to receive each month for each room.
Each room you offer will generate a fixed monthly income. The Homeowner instructs us as to the amount they would like to charge the Guardian.

Note: We will add an 18% Service Fee to the amount you would like to receive and pass on this cost to the Guardian.

You will receive the amount agreed upon for the accommodation you offer.
WHEN WOULD YOU LIKE THE ACCOMMODATION OCCUPIED AND EARNING YOU A MONTHLY INCOME (Required)
CONDITION OF THE ACCOMMODATION OFFERED (Required)
Drag & Drop Files, Choose Files to Upload You can upload up to 5 files.
This is entirely optional but very much helps when we discuss and describe the options you as a Householder will offer to potential property Guardians.
HOT WATER & HEATING IS IN GOOD WORKING ORDER (Required)
ISSUES WITH MOULD OR DAMP (Required)
ISSUES WITH KNOWN VERMIN INFESTATION (Required)
DOES THE PROPERTY HAVE INTERNET ACCESS (Required)

ABOUT YOUR INTERESTS AND ROUTINES

This section is important and will greatly help us to determine the Kind of Guardianship Candidates that best fit in with your interests, personality and general nature.

We will refine the requirements and your preferences during your initial telephone assessment with a Supportmatch Manager.
This section is important and will greatly help us refine the list of suitable Guardian candidates that best fit your requirements.
DO YOU HAVE ANY PETS
WOULD YOU MIND SHARING WITH SOMEONE WITH A PET (Required)

HOUSEHOLDER PROPERTY ASSESSMENT

This Assessment ensures that you are able to accommodate a Homeshare who will provide you with Support and Companionship.

DOES THE PROPERTY HAVE ANY OF THE FOLLOWING

Skip this question if you have nothing further to add.

QUALITIES IN THE GUARDIAN CANDIDATE YOU ARE LOOKING FOR

I PREFER THE HOMESHARER TO BE (Required)
ARE YOU A SMOKER (Required)
COULD YOU LIVE WITH A SMOKER (Required)

HOUSEHOLDERS ACKNOWLEDGEMENT & AGREEMENT

TERMS & CONDITIONS OF REGISTRATION (Required)

1. To Supportmatch Homeshare Householder Terms & Conditions as Set Out in my Application.

2. To Allow Supportmatch Homeshare to Record my Personal Data and Information, for the Purposes of Facilitating and Delivering the Supportmatch Homeshare Services, which includes Matching, Monitoring and Oversight Services Provided throughout the duration of a Homeshare Arrangement following a Successful Match with a Suitable Homesharer Chosen by You the Householder.

3. I Confirm that the Information I have provided in my Application is Accurate.



INFORMATION: TO VIEW THE TERMS & CONDITIONS OF SERVICE PLEASE GO TO THE TOP OF YOUR APPLICATION AND CLICK THE LINK HOUSEHOLDER TERMS & CONDITIONS.
Clear Signature

This field can be left blank if you are unable to use your device to physically sign your application.

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.

CHAT WITH US
Call Now Button