Rochester Housing Solutions | Donations

Roommate / Housemate Profile Form

Please complete this form with as much information as you feel comfortable sharing. It will help us introduce you to current Rochester Housing Solutions (RHS) families who are seeking potential roommates or housemates for their loved ones—whether in an IDD-designated condo or an available suite within an IDD single-family home at Walton Oaks or Auburn Oaks.

Required fields are noted with an "*".

About the Person Completing this Form

First name

Last name

Multi-line address

Country/Region

Address

City

Zip / Postal code

Phone

Email

Are you (pick the one that best represents your situation)?

A person with a disability looking for housing solutions

A parent or guardian of a person(s) with a disability

A caregiver of a person(s) with a disability

A sibling or relative of a person(s) with a disability (but not their legal guardian)

A friend of a person(s) with a disability (but not their legal guardian)

None of the above

About the Person with a Disability

First and Last Name:

Gender:

Male

Female

Prefer not to say

What does a typical day look like for you? For example, do you go to school, attend a day program, have a job, or volunteer?

Please provide at least 3 activities or hobbies that you enjoy.

What support do you require during the day or to attend social or other activities outside your home?

What are you looking for in a roommate / housemate?

About the Family or Guardian(s)

First and Last Name (primary contact):

What are you looking for in a housing solution for your loved one?

Which IDD unit type and locations do you prefer?

Our community relies on the participation of our families and guardians. How do you see yourself contributing to the success of our neighborhoods and IDD residents?

How can we help you prepare to launch your loved one and for life after your son or daughter moves into a place of their own?

We expect Walton Oaks to be ready for IDD residents to move-in by early 2027, followed by Auburn Oaks beginning in 2028. Are you ready to commit your time, talents, and resources to launch your loved one within that timeframe?

Yes

No

Not Sure (please explain)

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

Please upload a few pictures of your family that we can share with other RHS members.

RHS may share the information in this form with other RHS members, who may contact me via phone or email.

I understand that this form is not an application to become a member of RHS, be added to any waiting lists, or to make a Reservation to own or lease an IDD Unit at Walton Oaks or Auburn Oaks.

Yes, subscribe me to your newsletter and email updates.

Upon submitting this form, you will be redirected to the RSVP form for our Family Connections event on April 12. Please let us know if plan to attend.