Type of Housing Available (Couches, bedrooms, floor space, etc.) *
Your answer
Number of People Able to Provide For *
Your answer
Dates Available *
Your answer
Location (eg. Near East Campus, East Chapel Hill, etc.) *
Your answer
Do you have any people in the home who may be at increased risk of harm during this outbreak? With this in mind, are you able to take students who have recently travelled (though not to epicentres of the outbreak)? *
Your answer
Are you able to provide food for folks in need of housing? If so, do you know what this would look like? *
Your answer
What are the gender(s) of the people currently living in the home? *
Your answer
What are the race(s) of the people currently living in the home? *
Your answer
Are there any animals in the house? Please specify which animals & their temperament. *
Your answer
Is the house physically accessible? Are there any barriers in the house to physical accessibility? Please explain. *