Please Note
application
without a
picture or
missing
information
will not be
processed
NOVUS HOMESHARER APPLICATION FORM
Personal details: Date Of
Application:______________
Name: Telephone (home):
Telephone (work):
Address: Mobile No:
Email:
Date of Birth: Nationality:
Ethnicity:
M F
Religion:
Spoken Languages:
Age: Marital Status:
How did you hear about
Homeshare?
What attracted you to the idea
of Homesharing?
How soon do you need
accommodation?
Do you need to give notice
where you are currently
leaving? If so how much?
On what basis are you in the
UK?
(If applicable please state how
long you have been in the UK?)
What area have you applied
for and are there other areas
you are willing to live in? (Please
be specific and provide town names
or postcodes).
How long can you commit to
Homesharing?
(Please note we need a
minimum commitment of 6
months)
What is your current
occupation and working
hours?
Are you able to provide 10
hours per week? When? (i.e.
are there any hours that you
will unable to serve the 10
hours?)
(This information is necessary
to find the best suitable
match).
Do you have any qualifications
or experience with older or
disabled people?
Do you have an up to date
DBS? (Please note if you
already have an up to date
CRB/DBS your application
process will be faster.)
Please describe yourself
including your personality,
background, hobbies and
interests and long-term plans.
(Please include any
forthcoming commitments
including holiday plans).
Please Note: the more
information you include the
easier is to find a Homeshare
placement for you).
Do you have any health needs
which you think we and/or the
Householder should be aware
of? (Please include any
allergies)
Please provide full details of Referee 1
three referees.
(Please note Two of the Relationship to the applicant:
referees must be your
Name:
current employer/ latest
employer, or professionals.
Family members are not Address:
valid)
We also run a check with the
Criminal Records Bureau (DBS)
and so we require references Email Address:
and proof of current address).
Telephone Number:
Referee 2
Relationship to the applicant:
Name:
Address:
Email Address:
Telephone Number:
Referee 3
Relationship to the applicant:
Name:
Address:
Email Address:
Telephone Number:
Do you have friends or family in
the country or another source
of support?
Next of Kin Name:
(Please provide the contact
details of somebody who can Address:
be contacted in case of an
emergency) Post Code:
Telephone Number:
Relationship to the applicant:
Guarantor Details (for students Name:
only)
Address:
Post Code:
Telephone Number:
Relationship to the applicant:
Could you live in a house where
there are pets?
Could you live with a smoker?
Are you a smoker?
Would you prefer to share with
a male, female or couple?
(Please specify if you do not
have a preference).
What kind of support could you
offer to the Householder?
These might include:
-Cooking
-Shopping
-Housework
-Laundry
-Companionship
-DIY/Gardening
-Driving (Can you drive in the
UK?)
-Taking care of Pets Thank you for completing the Homeshare
-Helping with computer, Application.
appointments, ect.
Please complete the following sections. Please note without
agreement we are unable to process your application.
If my application is successful:
I agree to pay a £200.00 deposit to Novus which is refundable at the
end of my Homeshare agreement:
I agree to pay a £100.00 placement fee PRIOR to moving into my first
placement:
I agree to pay the monthly fee of £200.00 to Novus from the date of my
first placement:
I agree that Novus may record personal data for office use:
I agree that Novus may conduct an enhanced DBS and a credit check
I agree to provide 10 hours of support to the householder per week
I agree to provide a proof of income to Novus as part of the credit check
(Please note if you are a student you will need to provide details of a guarantor)
Signed____________________________________Date______________________________
Name___________________________________
To submit your application please follow any of the steps below:
Online: Visit https://www.novus-homeshare.org.uk/submit
Email: Send us an email to admin.novus@novus-homeshare.org.uk
Post: Please send to Administration Team, 376-378 Pinner Road, North Harrow,
Middlesex, HA2 6DZ
Privacy Notice:
We take your privacy seriously and promise to never sell your data.
You can find out more about your rights, how we use your personal
information and how we keep your details safe and secure by reading
our Privacy Statement:
https://docs.wixstatic.com/ugd/8f6367_202b269788af4d9faf0469efdaae4573.pdf
If you are concerned about the confidentiality of your personal
information, please contact us by phone on 03300882225 or email
admin.novus@novus-homeshare.org.uk
