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Gulf Coast Support for Hurricane Ida --> Atlanta Solidarity Housing
Interested in providing short-term housing to folks in the Gulf Coast region fleeing Hurricane Ida? Sign up here! Contact
atlhurricanesolidarityhousing@gmail.com
with any questions.
Seeking housing? Go here:
https://docs.google.com/forms/d/e/1FAIpQLSdOJ6OMmkoH9IekhEw6De-nCctDeCGY2isXXA-OzoWBPijKYQ/viewform
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* Indicates required question
Name
*
Your answer
Email (will not be shared publicly)
*
Your answer
Phone Number (will not be shared publicly)
*
Your answer
Address of Residence (will not be shared publicly)
*
Your answer
How many people can you host?
*
1
2
3
4
5+
Other:
What kind of accommodations can you offer?
*
Couch
Air mattress
Private room in house or apartment
Entire house or apartment
Other:
Are you able to host children and/or pets?
*
Yes to both
No to both
Yes children; no pets
Yes pets; no children
Other:
Is your home wheelchair accessible?
*
Yes
No
Other:
How long can you host people? Please provide dates if possible?
*
Your answer
Any additional information you need to share?
Your answer
What languages do you speak?
*
English only
English and Spanish
Just Spanish
Other:
Have you taken both doses of the COVID-19 vaccine?
*
Yes
No
Rather not answer
Do you require that the people you host be fully vaccinated from COVID-19?
Yes
No
Not Sure
Clear selection
Do you have pets
*
No
Dogs
Cats
Dogs and Cats
Other:
Do you have children
*
Yes
No
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