I can provide shelter  / Я можу прихистити
This form is created to connect people who need help due to war in Ukraine and those who is ready to provide it. Thanks for any kind of support!  All mandatory fields have to be filled (*).

DISCLAIMER

All the data you provide here will be used strictly to help Ukrainian people in need to find a shelter. If you have preferences for a minimal sharing of information please provide only - your first name, phone number and postal code i.e. no address. We are developing a web application that will show all existing offers to people who seek for help. So all the information you fill in here will be publicly visible in the app.

In case you have any questions/concerns please contact shelter4ua@gmail.com

IMPORTANT
If you want to delete your record or change the status free/booked you can edit your answer after submission.
Please email us at shelter4ua@gmail.com so we delete your offer once you already host someone - to reduce frustration of people looking for accommodation.
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Email *
First name /  ім'я *
Last name/ Прізвище
I can help with / Я допоможу з
Country of residence / Країна проживання *
City of residence / Місто проживання *
Your address / Адреса (Optional)
We value your privacy, so you can provide a partial address (as city district or postal code/ partial postal code ) for the purpose of matching. This data will be used for visualisation exact and shared to people by moderators in case of match / Ми цінуємо вашу приватність, отже можете сказати лише приблизну адресу, як-от район міста чи поштовий індекс.
How many people you would like to host? / Скільки людей, яку ви б могли  прихистити? *
Accommodation from date / Я можу прихистити з
Please leave empty if you are flexible / Будь ласка, залиште пустим, якщо у вас немає чітких обмежень
MM
/
DD
/
YYYY
Accommodation to date / Я можу прихистити до
Please leave empty if you are flexible / Будь ласка, залиште пустим, якщо у вас немає чітких обмежень
MM
/
DD
/
YYYY
Телефон / Phone number (Include country code start with  +123....) *
Please include your contact information so people from Ukraine will be able to reach you . This contact will be visible on the website/ Будь ласка, додайте вашу контактну інформацію, щоб люди з України могли з вами зв'язатися
Social media profile link / Сторінка у соціальних мережах *
It can be anything - Facebook, Instagram etc. This information is provided to other people to limit scam. / Може бути будь-яка соціальна мережа. Наша мета - недопустити шахраїв.
Kids friendly? *
Would you agree to accommodate people with pets? / Чи погодились би ви прихистити людей з домашніми тваринами? *
My message and detail of my offer / Повідомлення та деталі пропозиції *
Shortly about me / Коротко про мене :)
Current status (please feel free to change this field after) *
Я погоджуюсь на обробку персональних даних/ I agree with my personal data processing *
A copy of your responses will be emailed to the address you provided.
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