Emergency shelter application

Our shelters operate for 22 weeks between 5 November 2018 and 7 April 2019. Glass Door uses the information you provide on this form in order to offer you a place in our night shelter. We also use demographic information to determine the need for our service and to inform future planning. We will never sell or share your information with other organisations for marketing purposes. For more information please see our privacy policy.

NOTE: IF YOU DO NOT HEAR BACK IN SEVEN DAYS, CALL THE OFFICE ON 020 8016 6838 TO REFRESH YOUR PLACE ON THE WAITING LIST.