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Home
Who We Are
About Home Sharing
Our Services
Resources
What’s On?
- News
- Events
HSP Awards
- HSP Awards Ceremony
- HSP Awards Recipients

Home Sharing Provider Expression of Interest

What is your name? *

What is your email? *

What is your phone number? *

What city / town are you located in? *

What is your region? *

South Fraser
Southern Interior
North & Thompson-Cariboo
Vancouver Coastal West
Vancouver Coastal East
Vancouver Island

Are you at least 19 years of age? *

Yes
No

Are you a Canadian Resident or Permanent Resident ? *

Yes
No

A permanent resident (PR) is someone who has been given PR status by immigrating to Canada, but is not a Canadian citizen. PRs are usually citizens of other countries, while some may be stateless persons.

Do you self-identify with any of the following? *

First Nation
Métis
Inuk (Inuit)
Urban Indigenous
Caucasian
Black or African descent
East Asian (e.g., Chinese, Korean, Japanese)
South Asian (e.g., Indian, Pakistani, Sri Lankan)
Southeast Asian (e.g., Filipino, Vietnamese, Thai)
Latin American or Hispanic
Middle Eastern or North African
Other
I prefer not to answer

Please note: The following information is collected as some employers may prioritize hiring of indigenous candidates and/or lived or living experience. Do you self-identify as First Nation, Métis, Inuk (Inuit) or Urban Indigenous? *

Yes
No
Prefer not to answer

If Other, please specify

Where did you first hear about home sharing services ? *

Social Media
Agency/Organization
Web Search
Community Living BC
Other

Home sharing provider is a full-time contract where someone lives in your home. Respite is offered on a casual basis, and can be in your home, in community or at the person's home.

If Other, please specify

What Servies are you Interested in Offering? *

Home Sharing Provider
Respite
Both

Home sharing provider is a full-time contract where someone lives in your home. Respite is offered on a casual basis, and can be in your home, in community or at the person's home.

If you are interested in providing respite support, please share your availability with us

Do you have a valid Class 5 driver’s license? *

Yes
No

Do you have a current Criminal Record Check (Last 6 months) If not, you will be required to obtain a current CRC *

Yes
No

Is everyone in the home willing to undergo a criminal record check as part of the screening process? *

Yes
No

Type of Residence *

Apartment
Townhome
House

Number of rooms available *

1
2
3
4
5
6
7
8
9
10

Number of people in household *

1
2
3
4
5
6
7
8
9
10

Private bedroom available? *

Yes
No

Separate bathroom available? *

Yes
No

Are you willing to undergo a home study certification for shared living? *

Yes
No

A home study can take up to 40 hours. A home study involves assessing your home for suitability and an opportunity to get to know you and your family to ensure a good match.

Do you have a valid First Aid / CPR certificate? *

Yes
No

Do you have a current physician's certification of good health? *

Yes
No

Are you comfortable supporting individuals with personal care needs? *

Yes
No

Are you open to supporting individuals with complex service needs? *

Mental health conditions
Substance abuse
Addictions
Histories of homelessness
I am not comfortable with any of the above

Does anyone in household smoke? *

Yes
No

Do you have pets? *

Yes
No

Family make-up *

Experience *

Qualifications *

Tell us about you and your home *

What interests you in becoming a Home Sharing Provider? *

Is there any other information that would be helpful to know? (Special skills, experience, education, other?)

I consent to the collection of my information as outlined above. *

Collection Notice Personal information is collected via this form under sections 26(c) and (e) of the Freedom of Information and Protection of Privacy Act (FOIPPA) for the purposes of home sharing recruitment. Personal information will only be used by authorized personnel to fulfill the purpose for which it was originally collected or for a use consistent with that purpose unless you expressly consent otherwise. We may disclose your information to organizations actively recruiting for home sharing. If you have any questions about our collection or use of personal information, please direct your inquiries to the Executive Director at the Home Sharing Support Society BC Email: info@homesharingbc.ca *