| Homestay Family Application Form (click here for printer friendly version) |
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Please complete this form so that Austay.com.au can process your application to be a Homestay family. Other users of the information provided by you include the student you will be hosting. Not providing this information may prevent us from processing your application. |
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Applicant's Details |
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| Title: |
Mr
Mrs
Ms
Miss
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| Family Name: |
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| Given Names: |
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| Date of birth (DD/MM/YYYY): |
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| How many family members live in your home (give details): |
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| Why would you like to share your home with an international student?: |
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| Do you have any references from schools or previous students?: |
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| Do you have any preferences on student nationality?: |
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| Payment preference? |
Cheque
EFT
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| Telephone number: |
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| Mobile number: |
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| Email address: |
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Home Details |
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| What is your address?: |
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| How many kilometres is your home from the Sydney CBD? |
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| How far in metres is your home from the nearest railway station? |
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| How far in metres is your home from the nearest bus stop? |
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| When was your home built? |
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| How many bedrooms does your home have? |
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| How many bathrooms does your home have? |
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| Do you have a swimming pool? |
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| What languages (other than English) are spoken at home? |
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| Which age band do you fit into? |
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| How many children do you have and what are their ages?: |
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| Have you hosted international students previously? |
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| Do you smoke? |
Yes
No
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| Are you happy to host students who smoke? |
Yes
No
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| Are you vegetarian? |
Yes
No
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| Do you want to provide Homestay with food (breakfast and evening meal Monday to Friday and 3 meals on Saturday and Sunday)? |
Yes
No
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| Do you have pets? (eg dogs, cats inside the home) |
Yes
No
if so please provide details:
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Name and address of person to contact in case of emergency: |
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| Family Name: |
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| Given Names: |
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| Relationship to you: |
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| Phone Number: |
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| Mobile Number: |
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| Fax Number: |
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| Email: |
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Room Details: |
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| What are the approximate dimensions of the students room in metres? |
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| Does the students room have an ensuite? |
Yes
No
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The students room must have a bed, bedside lamp, adequate wardrobe, drawer space, a desk, a chair and a heating device in winter.
Please describe additional features available in the students room if applicable.
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Homestay Information: |
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- The minimum stay with a host family is four weeks.
- If you are providing Homestay with Food - Students will be provided with breakfast and dinner on weekdays and breakfast, lunch and dinner on weekends.
- After the four week period, any agreement for further stay should be arranged between yourself and the student. Students are encouraged to discuss their intention to continue with your host family at least one week before the last day of their stay.
- Many students share their accommodation with friends after their homestay. If your student would like further advice regarding their future accommodation plans, please contact our Accommodation Manager.
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DECLARATION - To be valid, this form must be signed in English by the student. The Agent cannot sign on behalf of the student.
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In accordance with Privacy Act and Personal Information Act of 1998, you can apply to access or amend the personal information you have provided for your application.
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