The University of Newcastle, Australia

Homestay host family application

Personal Details

Contact Details

Family Details

Please list all members of your household (including yourself) and their relationship to you?

Family Member #1 (Primary Applicant)

Date of Birth

Add another family member

Family Member #2

Date of Birth

Remove

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Family Member #3

Date of Birth

Remove

Add another family member

Family Member #4

Date of Birth

Remove

Add another family member

Family Member #5

Date of Birth

Remove

Add another family member

Family Member #6

Date of Birth

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Accommodation Details

Do you have any pets? *
Does anyone in your household smoke cigarettes? *
Are you willing to accommodate students with special dietary requirements? (e.g. vegetarian) *
Do you currently have a Working With Children Check?

Please provide two local referees who are not related to you

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.*

We advise that the information you provide is collected by the University of Newcastle and its contracted service providers and may be used to make you aware of future University events and opportunities. The University and its contracted service providers may use your personal information to contact you about your application or invite you to participate in surveys or market research activities.

The University abides by the Privacy and Personal Information Protection Act 1998 (NSW), under which you have the right to access your personal information held by the University. The University’s Web Privacy Statement and Privacy and Information Access Policy provide further detail.