Enraged & Engaged: Can Provide Alternative Housing

Enraged & Engaged/Freedom Winter Activists

I can provide housing for one or more NOW volunteers.

First name*:
Last name*:
Mailing Address*:
Additional Mailing Address Information (optional):
City*:
State:
Zip*:
Email Address*:	e.g., pat@email.org
	Please keep me updated about feminist news and actions
Phone*:
	Are you a student? If so, please enter the full name of your school below.
Your School:
Gender*:
Dates you are available to provide housing:*	the full 3 weeks one week, anytime only on these dates:
Number of Beds or Sofa Beds available:
Number of Couches available:
Number of people that could fit in sleeping bags on the floor:
Other:
Are you willing to provide housing to volunteers of a different gender? :
Are you willing to provide housing to volunteers that are mixed gender couples or groups?:
Are you a smoker?:
Do you allow smoking in your house?:
Do you have pets?:	If so, what animals do you have and how many?
Can you accommodate a volunteer who is chemically sensitive (no perfumes, fragrances, etc.)?
How many (if any) sleeping bags can you provide?
Please describe any accessibility issues in your household:	(ex. steps to bedroom)
How many (if any) parking spaces can you provide?
Are you within walking distance of public transportation or can you provide transportation to Metro station/bus stop or to 1100 H Street NW?
Is there any other information you think it would be useful for us to know in matching you with volunteers seeking housing? :

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