2 women walking up to the House

If you — or someone you know — would like to stay at Wellington Women's House, fill in our online referral form below.

  • If you’re applying to stay at the House yourself, make sure you provide as much information in the form as you can.
  • If you’re completing the form on behalf of someone else, fill in as much information as possible, preferably alongside the applicant. Unless you indicate otherwise we’ll contact the applicant directly to make a booking for an assessment if deemed suitable.

If you'd prefer to print and then fill in a paper copy of the form, you can download it here and email it to us at [email protected] when complete.

Wellington Women's House referral form [PDF 116KB]

Apply online

  • Suitability Criteria
  • Referrer Details
  • Applicant Information
  • Complete

If the applicant seems potentially suitable then we will invite them to an assessment at the office, where we can discuss in more detail what they need and show them the house. Assessments take between 30-45 minutes.

If they are accepted they will be expected to pay 2 weeks rent and one week's bond before they can move in. Work and Income may be able to help with this.