Personal Details
Family Name*
Given Name (Spouse 1)
Given Name (Spouse 2)
Contact Details
Home address*
Suburb*
Postcode*
Home phone number
Work phone number
Mobile phone number*
Fax number
Email address*
What is the best time to contact you?*
Family Details
Please list all members of your household (including yourself) and their relationship to you?
Name
Relationship
Gender
Age
To help us best match international students with Homestay families, we require information on the education and occupation of family members.
Education
Occupation
Work hours
Please list your family pass-times and interests?
Please list any languages other than english spoken by family members, including their level of fluency (ie:beginner, intermediate, advanced, native speaker)
Accommodation Details
How many rooms do you have available for international students?*
What style of accommodation do you have available?*
Type of dwelling?*
Briefly describe your home (ie:size, location,condition etc)*
Do you have any pets?*
Yes No
If yes please specify the type of pet
Does anyone in your household smoke cigarettes?*
Do you allow smoking at your home?*
How many kilometres from the University is your home?*
How might an international student staying in your home get to the University? (Specify mode of transport, route,time etc)*
Are you willing to accommodate students with special dietary requirements? (eg vegetarian)*
Does your family have any special dietary requirements?
Please provide two local referees who are not related to you.*
Full name*
Contact number*
I understand that all information supplied is correct to knowledge at the time of writing and any misinformation may result in the forfeit of the Homestay booking without refund of fees.*
