Payment Procedures and an Invoice will be emailed to you once we have your application. 

(All Homestay bookings are a minimum of four (4) weeks. The initial (first) payment of four (4) weeks is non refundable. Two weeks notice applies after the first four (4) weeks of homestay)

Thank you.

Application Form

 

 

Please provide the following contact information:

Name

Nationality

School 

 Which State ?   

Course

 Phone

Mobile

E-mail

Education Agent /School (If Applicable))

Date of Birth

Sex

Male Female

Email Address for Billing Purposes

 

Level of English :

 

A home with Children ?                                  Do you Smoke ?                                    Pets ?

With Children                                            No                                     With Pets
 Without Children                                      Yes                                     No Pets
 Either                                                                                                           Either

Airport Transfer Required ?     Yes       No

 

If you require Airport Transfer, please complete the Form on the following Page:   Airport Transfer

 

Accommodation Start Date : -- dd/mm/yy

Expected length of Stay ?  4 weeks    Long Term (3 to 6 months)    

      

How did you hear about Homestay Australia ?   

 

Additional requests ?

 

I agree to the conditions of Homestay Australia P/L as specified in the section "HOMESTAY CONDITIONS".       YES