Housing Only Application

United Saints makes a priority of allocating its housing to its volunteers; however, we occasionally have openings in our housing. When available, United Saints allows visitors to New Orleans–primarily volunteers at other organizations–to stay on our premises. If you are interested in this option, please fill out the form below to inquire about availability.

Group Information

What is your group name? (e.g. church, college group, etc.)(required)
With what organization in New Orleans are you volunteering?(required)
How many people are in your group?(required)
Arrival date (use the blue calendar box to the right)(required)
Estimated departure date (use the blue box)(required)
How did you hear about the United Saints? (required)

Group Leader Information

Name(required)
Date of birth (mm/dd/yyyy)(required)
Occupation

Contact Information

Cell phone number(required)
Home phone number(required)
E-mail address(valid email required)
Home address
City, State, and Zip

Emergency Contact Information

Contact name
Relationship
Contact’s phone number
Contact’s e-mail

Medical Information

Medical conditions and/or allergies
Dietary restrictions
Do you have Health Insurance?
Yes No
Any special certification (i.e. CPR, Medical, etc.)

Background Information

Do you have a valid driver’s license?
Yes No
Number of valid driver’s license or government-issued I.D
Expiration date and issuing agency of the I.D
Have you ever been convicted of a crime or misdemeanor (theft, violent, sexual, or otherwise)
Yes No
If yes, what, where, and when?

I have read and accepted the acknowledgement and assumption of risks, release and indemnity, and photo release statements
Yes, I accept
Enter Code as shown

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