Host Home Application

Thank you for your interest in opening your home. Complete the form below and our team will reach out within 2–3 business days.

Applicant information

All fields marked * are required.

Personal information

First name *

Last name *

Phone number *

Email address *

Home address *

Date of birth *

Your household

How many people currently live in your home? *

Please describe the people in your household (ages, relationships) *

Do you have pets? If so, please describe.

Do you own or rent your home? *

If renting, you'll need written landlord permission before placement.

Do you have a spare bedroom available for the individual? *

Yes No

Experience & background

Do you have any experience working with or caring for individuals with disabilities? *

Yes No — and that's okay!

If yes, please describe your experience

What types of individuals are you comfortable supporting? (select all that apply)

Mild intellectual disability Moderate intellectual disability Severe / profound disability Autism spectrum disorder Cerebral palsy Acquired brain injury Open to any / not sure yet

Preferences

Preferred age range of individual you'd like to host

Preferred gender of individual

Why do you want to become a host home provider? *

Is there anything else you'd like us to know?

Agreement

I understand that all household members over 18 will be required to pass a background check before placement. * I am willing to complete required training provided by Homes For Angels. * I confirm that all information provided in this application is accurate and complete. *

✅ Your application has been submitted! Our team will be in touch within 2–3 business days.

♡ Homes For Angels

Youth Adult Services

Person-centered disability services across Utah.

Questions?

(801) 830-1473 homesforangels@gmail.com Mon–Fri, 9 AM – 3 PM MDT