Volunteer to Host Families - No One is Left in Shelters!

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Dear families, volunteering to provide accommodation is without regard to religion, race, gender, or political beliefs. Please fill out the form, and we will connect you with a family seeking accommodation. This initiative is based on the full volunteerism of the hosts.

Full Name of Contact Person *

Phone Number *

Email address *

Accommodation Address *

How Many People Can You Host? *

Is There a Protected Space? *

Shelter

Safe room

Other:

Required

Possibility to Bring Pets? *

Yes

Other:

Required

Are You an Organization or Individuals? *

Organization

Individuals

Other:

Required

Is the Accommodation Kosher? *

Yes

Required

Is There Accessibility for the Disabled? *

Yes

Required

What Exactly do you Offer? Room/Accommodation Unit/Zimmer/Several Beds, Mattresses, etc. *

Any special requierments? *

ESRA Service User Agreement

By utilizing ESRA's services, you hereby acknowledge and accept full responsibility for your actions and interactions in this initiative.

I commit to maintaining strict confidentiality and undertake not to disclose or utilize any personal information, including contact details, for unauthorized purposes.

Please signify your agreement by checking the box below, confirming that you have read and consent to adhere to these terms.
*

I have read and understood the above and agree to abide by it.

Required

We will try to get back to you as soon as possible.
Our email address: Herzliyaoffice@esra.org.il
Emergency phone number: +972 58 736 0010

Thank you!

The ESRA Family

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