House sharing - questions for new housemate

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About

This sheet contains is to be filled in by a new housemate after they've moved in. Mostly it's just to make sure we have all their important details in case of emergency etc.

NOTE: This form can be used as a "follow on" from this form: House sharing - questions for potential housemate


Your Contact Details:

  • Full name: ________________________________
  • Mobile phone: _________________________
  • E-mail address: _________________________
  • Birthday: ____________________ (so we can add it to our calendar)
  • Date you moved in: ____________________



Emergency Contact Details:

(to be used in the very unlikely case of an emergency):

  • Emergency phone: _________________________
  • Emergency person: ________________________________
  • Parent's address: _____________________________________



Boyfriend / Girlfriends Contact Details:

(if you have no boyfriend and/or girlfriend feel free to make one up - maybe we "know" someone) :-P

  • Name: ________________________________
  • Mobile phone: _________________________
  • Home phone: _________________________
  • E-mail address: _________________________
  • Birthday: ____________________ (so we can add it to our calendar)




Bank Details:

(for purposes of transferring bills and bond monies etc):

  • Bank: ________________________________
  • Account Name: _________________________
  • Account Number: _________________________



Medical Conditions:

_____________________________________________________________________________________

_____________________________________________________________________________________


NOTE: Give this to the main person in the house then will they will forward you everyone else's contact details to add to their phone.

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   <title>House sharing - questions for potential housemate</title>
   <id>81</id>
   <revision>
     <id>56517</id>
     <timestamp>2011-08-24T05:09:39Z</timestamp>




About

This sheet contains a list of questions to ask a "potential housemate" - someone who, after inspecting the house and chatting with the current housemates, is genuinely interested in moving in soon. Keep in mind these questions are not meant to be offensive or make you feel nervous - it's mostly a way for us to (a) get to know you better, (b) collect your contact details (so we can get back to you soon), (c) make sure we don't forget any important questions and (d) to break the ice!  :-)

CLICK HERE FOR A PRINTABLE VERSION



Basic Info and Contact Details:

  • Name: ________________________________
  • Mobile phone: _________________________
  • Home phone: _________________________
  • E-mail address: _________________________
  • Date of Birth: ____________________


  • How did you find out about the room: ____________________
  • Date of visit: ____________________


If you were to become my new housemate:

  • How soon were you thinking about moving in: ___________________________________
  • How long are you likely to stay in the house: ___________________________________
  • What factors are likely to affect the duration of your occupancy: (eg. study, employment, family etc)

_____________________________________________________________________________________

_____________________________________________________________________________________





Personal:

Background

  • Where are you living now (i.e. what suburb): ______________________________
  • Have you had experience living in share house(s) before: __________________________________________
  • Tell me about the last place you lived: ___________________________________________

_____________________________________________________________________________________

_____________________________________________________________________________________


  • What are/were the reasons for moving out of your last share house (and/or family home):

_____________________________________________________________________________________

_____________________________________________________________________________________


  • Where are you from originally?: _______________________________________________________

_____________________________________________________________________________________


  • Tell me a little about your hobbies/interests: (shopping, sports or sleeping-in)

_____________________________________________________________________________________

_____________________________________________________________________________________

_____________________________________________________________________________________

Family

  • Where does your family live?: ____________________________________________
  • Any brothers or sisters?: ___________________________________________________
  • Tell us about your family: ________________________________________________________

_____________________________________________________________________________________

  • Would your family ever want to visit or stay with us?

_____________________________________________________________________________________

_____________________________________________________________________________________

Other

  • Would you describe yourself as energetic or laid-back? ________________________________
  • Do you consider yourself a neat person? ________________________________
  • Do you like bringing friends around often? _____________________________
  • Do you smoke: yes / no / rarely
  • How often do you go out clubbing / pubbing etc?: _____________
  • How often do you drink?: ________________________________________
  • Do you have any special dietary requirements, medical conditions or religious beliefs: ______________________________
  • Do you have a criminal record or do any drugs?: _____________
  • Do you have any major concerns if you were to move into the house?

_____________________________________________________________________________

_____________________________________________________________________________


Relationship Status

  • What is your relationship status? __________________________________

If you have a boyfriend and/or girlfriend:

  • Tell us about them: ______________________________________________________________

_____________________________________________________________________________________

_____________________________________________________________________________________

(name, occupation, personality, criminal record etc.)  :-)


  • How often are they likely to be around: __________________________________________

_____________________________________________________________________________________


  • Do you foresee any chance they'll ever want to move in: ___________________________

_____________________________________________________________________________________


NOTE: As a policy if someone in the house has a girlfriend or boyfriend, it's nice if we can all meet them and get along - especially if they are likely to be around a lot. And if you have "relations" it's obviously important to be considerate - the walls may be thin!

BIGGER NOTE: At times friend or significant others may want to stay for a while. Within our house any stay must be discussed and mutually agreed upon in advance. If an extra person stays longer than _____ weeks in your room, they will be expected to pay their fare share of utilities and your room rent will increase a bare MINIMUM of _____. No matter how nice the person, mooching (staying for free) always leads to resentment, so we ask everyone to sign below. A person can also be considered "moved in" if they sleep over more than ______ nights a week - regardless of whether they have their own place (if no entries are written we suggest 3, 30% and 4 before the applicant signs).

  • If someone you know moves in, will you be accountable for them paying this extra amount: ______

I agree to the terms above and the truthfulness of all my answer on this form.


Name: __________________ Signature: ____________________



Income / work / study

  • What is your occupation(s)? _________________________________________ (what do you do?)
  • What kind of hours do you work? _____________________________________ part-time / casual / full time
  • Are you a student? ______________________  :-)
  • What are you studying? _____________________________________

(NOTE: If you have finished studying and belong to the "real world" you can write down what you use to study)

  • What is your main source of income? ________________________________
  • Can you comfortably afford rent each week, plus share in the quarterly bills ie water, electricity and gas? _____________
  • Do you have a financial "back-up"? ________________________________ (eg: parents)



Transport and Possessions

  • Do you have a car? _______________________________________________________________
  • What is your main method of getting around? ______________________________________
  • Do you have any pets? __________________________________
  • How much furniture do you have? _________________________________________________

_____________________________________________________________________________________


  • What type of communal items will you bring to the house? _________________________

_____________________________________________________________________________________

_____________________________________________________________________________________

_____________________________________________________________________________________


  • If you do move in how far would you have to move your stuff and how long might it take? (maybe we can help)

_____________________________________________________________________________________




  • Did you like the room? ___________________________________
  • Did you find this form creepy and/or how could we improve it?! _________________________

_____________________________________________________________________________________