Home > Offer a Home

If you have already registered an offer for your home, please login to update your offer.

If you are a business/family/individual offering space in your home, fill out the form below.

If you represent an organization like a local Red Cross, United Way, Salvation Army, Community relief group, church, synogogue, mosque, etc, click here to register your organization.

	Register using standard server
	Register using secure server Note: Ignore the warning in your browser that the domain name of the security certificate (www.etesters.com) does not match this domain name (www.homesforkatrina.org). The page will still be secure. I am using the security certificate of my existing company.

Please review our Privacy Policy and Important Information to understand before filling out the form.

Contact Information:

Your Name
Home Telephone
Cell Phone (Optional)
Email	Please note: By providing your email, you will be sent a password upon submission of the form which will allow you to modify or remove your listing in the future.

Home Location

Street (No PO Boxes)
City
State	Zip

Are you offering: Room(s) in Shared Home     Vacant Housing

Number of families you can house?

Number of people you have room/beds for 123456789101112131415161718192021222324252627282930313233343536373839404142434445464748495051525354555657585960616263646566676869707172737475767778798081828384858687888990919293949596979899100

What type of housing do you have?

House Apartment/Condo Group of Apts Hotel Room(s) Shelter

Cabin Mobile Home Boat RV/Trailer

If you have a large number of private spaces available, please also register at www.swern.gov and contact your local relief agencies.

Rent would be: Free for Survivors   OR   $/month (we strongly recommend FREE)

We are willing to take (Check all that apply)

Children without guardians Women Men Single Parent w/Children

Entire Family Elderly Pets Smokers

Home Details:

Home Has Dogs   Cats   Birds   Children   Smokers  

Handicapped Accesible? Yes No

Close to public transportation? Yes No

Are there jobs in area? Yes No


Location type: Rural Suburban Small Town Small City Medium City Big City

Description of place to stay


How long can people stay there?


Can you help transport people to your location?
Yes No

Can you offer food until necessary?
Yes No

Names of all adults currently living in your house

First Name	Last Name	Date Of Birth (mm/dd/yy)

Would you/they agree to a criminal and sexual offender background check? Yes No

We request this from both parties as a precautionary measure for safe placement.

Do you have local civic or professional organizations that can vouch for you? If you do not belong, you can list references below instead. Yes No

The reason we ask is so that we can contact a local reputable organization that would be able to verify you as a potentially suitable host. If you do not belong, it does not stop you from offering help.

If Yes, what is the name and contact information for the organization?
Name, Address and Contact at Organization


Telephone of Organization

Optional Information The following information will be available to relief agencies in an effort to find best matches for families. Our Household is predominantly Race Religion How important is it to you to house someone of similar background? Very Not Very Unimportant Any other comments about your household

Information Sharing (Check with whom you would like us to share this information)

I agree that homesforkatrina.org may share this profile information with reputable relief organizations. This means that they are either a major relief organization or an organization that has been approved by a major relief organization to provide placement for evacuees. Reputable relief organizations include FEMA, American Red Cross, Emergency Management Agencies in each state, Salvation Army, International Rescue Committee, and other similar agencies.

By checking this box, I agree that homesforkatrina.org may share this profile information with a reputable local organization that is attempting to place evacuees. We will ensure that this organiztion is screened by Homesforkatrina.org as a valid and trustworthy civic or religious organization. Please note, checking this box is not required.

By checking this box, I acknowledge that I am providing housing information at my own risk and that while homesforkatrina.org attempts to make the placement process safer, homesforkatrina.org shall not be responsible for the conduct of any person who contacts me through homesforkatrina.org. I understand that homesforkatrina.org may, exclusively for the purpose of evacuee assistance, provide my contact information to major relief organizations working to house evacuees. I hereby release homesforkatrina.org, and each of its present officers, directors, employees, representatives, agents, and affiliates from any liability with respect to any acts or omissions of any person who contacts me through the Service or through a third-party relief organization. I also agree to the site's Privacy Policy and Terms of Use.