Host Asylum Seekers in Western Massachusetts
This form is for the Western Mass Asylum Support Network, with the purpose of assessing what kinds of housing/sponsorship options are available to asylum seekers who will be coming to Western Massachusetts. Are you interested in hosting an asylum seeker? Please fill out this form and we'll get in touch with you.
Sign in to Google to save your progress. Learn more
Your Name *
Email address (not shared outside) *
Phone number (not shared outside) *
City, State *
I can host people for this long (our greatest need is 6+ months): *
I can host this many people: *
I have this many available rooms in my house:
Clear selection
I have financial means, via myself and my extended networks, to support this individual for the allotted time:
Clear selection
Are there specific communities that you can provide trauma informed support for (e.g. LGBTQ+, families, single women, single men): *
What kinds of relevant experience do you have? *
What languages are spoken, at what levels, by at least one member of your household? *
Are you near public transportation? *
What else would you like us to know? *
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy