Application

Only Information coloured in Blue will be displayed on the web page. Don't forget to send your pictures. Your home, rooms available, etc.


Contact Name   

 

Your Homestay Fee (Per Week)   $   

Payment to be 2 Weeks in Advance or 4 Weeks in Advance

 

What Meals will you provide :

   

Breakfast - Self Service (help yourself) : A choice of cereal, toast, condiments, milk OR noodles. Foods are to be provided by the Homestay and student is to help themselves.  

 

Lunch - Self Service (help yourself) Can be a choice of Sandwiches OR a Container of Food to be heated plus piece of fruit and a drink. Foods are to be provided by the Homestay and student is to help themselves.

 

Dinner - A cooked meal. (To be provided by the Host) The homestay can provide different styles of food i.e., Western and Asian.

Describe your family :

Single Female Host  

Single Female Host with Children

Single Male Host  

Single Male Host with Children

Husband and Wife with Children

Husband and Wife without Children

 

Suburb     

Postcode

Student Preferred

Number of bedrooms available

Police Check Completed. Yes No  

Smoking  

Languages Spoken at Home

Internet Access. Yes  No  

Interests  

Pets  

Transport :

How far are you from the centre of the city ?

What Public Transport is available in your area ?

 

Why a student should come and live with you

 

Available Dates ? 

 

(Please keep us informed of Dates when you are unavailable. Otherwise we will assume that you are  available.)

 

Any Special Conditions you may have?

 

 

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Surname     

Contact Email 

Father's Name

Father's Occupation   

Father's Birth Date

 

Mother's Name  

Mother's Occupation  

Mother's Birth Date

 

Children Living in the Home :

First Child   

Gender / Year of Birth

Second Child   

Gender / Year of Birth

Third Child   

Gender / Year of Birth 

 

Number/Street Address  

Home Phone  

Work Phone  

Mobile

 

How did your hear about The Homestay Registrar ?