Homestay host family application / Hosts / Homestay / Accommodation / Before you leave / International / Study / The University of Newcastle, Australia

Personal Details

Applicants family name *

Primary Applicant

Secondary Applicant

Contact Details

Home address *

Suburb *

Postcode *

Home phone number

Work phone number

Mobile phone 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?

Family Member #1 (Primary Applicant)

Date of Birth Day Month Year

Highest level of Education

Occupation

Work hours

Add another family member

Family Member #2

Date of Birth

Date of Birth Day Month Year

Relationship to Applicant

Highest level of Education

Occupation

Work hours

Remove

Add another family member

Family Member #3

Date of Birth

Date of Birth Day Month Year

Relationship to Applicant

Highest level of Education

Occupation

Work hours

Remove

Add another family member

Family Member #4

Date of Birth

Date of Birth Day Month Year

Relationship to Applicant

Highest level of Education

Occupation

Work hours

Remove

Add another family member

Family Member #5

Date of Birth

Date of Birth Day Month Year

Relationship to Applicant

Highest level of Education

Occupation

Work hours

Remove

Add another family member

Family Member #6

Date of Birth

Date of Birth Day Month Year

Relationship to Applicant

Highest level of Education

Occupation

Work hours

Remove

Please list your interests

Please list any languages other than english spoken by family members, including their level of fluency. (beginner, intermediate, advanced, native speaker)

Accommodation Details

How many rooms do you have available for international students? *

Type of dwelling? *

Briefly describe your home (size, location, condition etc) *

Do you have any pets? *

Yes
No

If yes, please specify the type of pet (indoor or outdoor)

Does anyone in your household smoke cigarettes? *

Yes
No

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? (Please specify mode of transport, route, time, bus, train etc) *

Are you willing to accommodate students with special dietary requirements? (e.g. vegetarian) *

Yes
No

Does your family have any special dietary requirements?

Do you currently have a Working With Children Check?

Yes
No

Please provide two local referees who are not related to you

Referee #1 *

Contact number *

Referee #2 *

Contact number *

I understand that all information supplied is correct to my knowledge at the time of writing.