Positive Action in Housing

(Registered NGO SCO27577)

Scotland -UK

Ukraine Families & Young People

Sponsorship Request Form

For Ukrainians fleeing war, fill in this form.

Tell us as much detail as possible. We will keep your information strictly confidential except when we speak to a sponsor. Please be patient as we try to help you and others.

www.positiveactionh.org

www.roomforrefugees.com

e: home@positiveactionh.org

We’re part of a worldwide movement committed to building a modern-day underground railroad of dedicated people who are defying the indifference of governments to the global refugee crisis by lending a helping hand to men, women and children risking their lives for a better future.

Updated: April 14, 2022

Once you are on our register, we will contact you. But be patient while we upgrade our systems.

Warning: Do not search for sponsors on social media as women, children and young people can be targeted by people traffickers. Use established hosting networks run by NGOs - not volunteers.

Email address? - Please enter the correct email or we cannot communicate with you.

Applied for a visa? - Have you applied for a UK Visa?.

Date applied for visa? - When did you apply for a visa?

DD-MM-YYYY

Needs Sponsor? - Do you need help to find a sponsor? tick yes or no.

Ideal sponsor - Who is your ideal sponsor?

Who needs a UK Visa? - We need to know this so we can ensure that proper safeguarding and risk management is in place.

Pregnant women? - Tell us if there is a pregnant woman in your family.

Household? - Which of these options best describes the people who are seeking a sponsor?

Your family? - Tell us the names, relationship to you, ages and occupations of you and your family members. Let us know if there are any vulnerable adults or children too so we can match sensitively. Write each person's details on one line. e.g.:

Jane Smith, My mother, 54, Housewife

Tom Smith, My Son, 21, Student

Anna Smith, My daughter, 5, autistic

Family - How many?

Your family - Adults

Family - Children?

Have you/your family left Ukraine? - We need to know if you have left Ukraine.

City? - Which city are you in now?

Your current situation in Ukraine? - Can you tell us about your current situation.

Date of leaving? - What date did you leave Ukraine?

Present country? - Which country are you in right now?

About your situation right now? - Tell us about where you live right now. What is the situation. Why can you not stay there? Please write up to 200 words

Why could you not stay in Ukraine? Please tell us why you could not remain in Ukraine? Please write up to 100 words.

Preferred location

Messenger service? -Which messenger service do you use? We need to know this so we can communicate effectively with you in case we find a sponsor for you.

First name - Just your first name here, if you are a couple, write both names e.g. Bob and Sara

Last name -What's your last name?

Occupation - What is/was your occupation?

Nationality - What is your nationality? And your family? e.g. if you are ukrainian, write Ukrainian

Date of birth

DD-MM-YYYY

Phone number? - We need this so we can communicate with you via a messaging app.

Current address - Tell us your current address?

Address line 1

Address line 2

Address line 3

Address city

Address area code

Address country - which country are you in right now?

English - do you speak english?

Languages - what languages do you speak?

About you and your family - Tell us about you and your family. We need this information to share with a host family in the UK. Please write up to 200 words.

Vulnerabilities? - Tell us about any vulnerabilities. Do you/your family have any health problems? Please write around 50 words.

Reasons for wanting to go to the UK? - Tell us why you want to go to the UK. For example, do you have any family or friends in the UK? Or is it because you speak fluent English? Or is it because of work? Or education?

Additional information? - Do you have any addictions , eg smoking, drinking, drugs . Is there anything you would like to ask us? Or tell us? This is your space and helps us to get to know you. Please write up to 200 words

Do you have a criminal record?

Please disclose full details about your criminal record? - Everything you tell us will be treated with the strictest confidence.

Where did you hear about us?

Photo - Please add a family photo so we know who you are. (Optional).

Declaration - I confirm that all of the information in this form is true and accurate and that I have answered to the best of my ability. I hereby undertake to keep strictly private and confidential any personal information provided to me . I agree to verify any of the information provided in this registration form should you require it.

Contact Information