Homestay Application Form


Please complete this form so we can process your application for accommodation. Other users of the information provided by you include your host family. Please provide this information for us to processes you application .


Applicant's Details

Title: Mr   Mrs   Ms   Miss  
Family Name: Date of birth (DD/MM/YYYY):
Given Names: Religion:
School Name: School Location
Arrival Date: Arrival Time:
Nationality: Flight Number:


Questionnaire

When do you want to start your Homestay? DD/MM/YYYY
Do you smoke? No Yes
Are you a vegetarian? No Yes
Do you have any special dietary (food) requirements? (eg are you allergic to any foods?) No Yes
If yes, please explain
Please write details of any medical conditions you have
Will you accept placement in a family with young children? No Yes
Will you accept placement in a family with pets? (eg dogs, cats inside the home) No Yes
Name and address of person to contact in case of emergency:
Family Name:
Given Names:
Relationship to you:

Phone: Fax No.:
Mobile Number: Email:


Homestay Information
• Students wanting homestay placement must apply for this service at least two weeks before their confirmed     arrival date in Sydney.
• The minimum stay with a host family is four weeks
• 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 your family and yourself.     Please discuss your intention to continue with your host family at least one week before the last day of your stay.
• If you decide to stay with your host family after the initial four weeks, homestay fees should be paid directly to the     family.
• Many students share accommodation with friends after their homestay. If you would like further advice regarding     your future accommodation plans, please contact our Accommodation Manager (info@austudies.com.au).

DECLARATION – To be valid, this form must be signed in English by the student. The Agent cannot sign on behalf of the student.

I acknowledge that I have read the Homestay Terms & Conditions and agree to abide by its rules.



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.