Intake Form - Temporary Housing for COVID-19 Medical Professionals
This form is to gather information from property owners and landlords who have available housing that they are willing to temporarily free to medical professional heroes who are on the front lines fighting for the rest of us. We are using this information to match vacant apartments, condos, single-family homes or RVs with medical professionals who are in need of temporary emergency housing due to COVID-19 quarantine. We have heard from medical professionals who are in need of temporary housing due to immunocompromised family members or who otherwise will need to be quarantined. Please complete this form and one of our volunteers will be in touch with you as soon as possible to discuss the process and logistics of matching your available dwelling with a medical professional in need of quarantine. Thank you so much for considering.
We are not logistically equipped to vet and distribute RVs as temporary housing. If you have an RV you would like to provide housing for medical professionals please contact RVs 4 MDs:
RV donation form:
We are all in this together! Email us at:
Check out our website:
First and last name of housing donor
Phone number of housing donor
Email address of housing donor
What type of temporary housing can you donate for medical professionals in CO on the front lines of COVID-19.
Single family home
How many bedrooms does the housing have?
How many medical professionals are you able to accomodate in your housing.
Address of housing being donated (street, city, zip)
County where donated housing is located
Furnished or unfurnished (please describe).
Please mark amenities
Please enter the date on which the housing will be available for use by medical professionals.
Please enter the date at which the housing will no longer be available for use by medical professionals (when you will need it back).
Would you prefer to remain anonymous or speak with the prospective medical professional recipient of your housing donation?
I prefer to remain anonymous
I would like to speak to medical professional who will be the recipient of my housing donation.
Thank you for completing this form and stepping up to help our hero medical professionals with housing! Please note we will require donors to demonstrate legal ownership/right to occupy housing. Please leave any additional comments below or email us: HousingCovidHeroes@gmail.com
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This form was created inside of University of Colorado Boulder.