New Host Registration.

Family Name *

Given Name *

Address *

Suburb *

State *

Postcode *

Mobile *

Email *

Female Parent Name *

Female Parent Year of Birth *

Female Parent Occupation *

Female Parent WWCC or Blue Card Numbers *

Female Parent WWCC or Blue Card Number Expiry date. *

Male Parent Name *

Male Parent Year of Birth *

Male Parent Occupation *

Male Parent WWCC or Blue Card Numbers *

Male Parent WWCC or Blue Card Numbers Expiry Date *

All your Children that reside with you who are over 18 years are required to have a WWCC or a Blue card.

Your Children residing with you.

Child 1

Name
Year of Birth
Gender
Occupation *

Your Children residing with you.

Child 2

Name
Year of Birth
Gender
Occupation *

Your Children residing with you.

Child 3

Name
Year of Birth
Gender
Occupation *

Total number of student rooms available in your home *

Are your Student bedrooms inside your home or outside your home *

What Languages are spoken in the Home *

Does your home have adequate Smoke Alarms *

What are the Family interests *

Do you have any Pets *

Is your Home a non smoking home *

Name of your Insurer for your Home/Contents and Public Liability Insurance.
Your Policy needs to include Unrelated Guests or Visitors.
If you are not sure contact your Insurer. *

What is the Expiry Date of your Home/Contents and Public Liability Insurance? *

Any International students residing in your home now. If yes, what are their ages and gender *

What Public Transport do you have available within walking distance of your home *

What is the travel time to the city from your home *

Which Meal service do you wish to Provide ? (Please tick multiple boxes) *

Three Meals Weekends, Two Meals weekdays

No Meals provided, just accommodation

Do you prefer a Male or Female student ? *

Do you Agree with our Terms & Conditions. Refer to : http://www.homestay-australia.com/host_family_information.htm

Please write Yes or No *

We would also like your permission to add your details to Accommodation Websites and University web sites. Your specific address is not advertised.

Please write Yes or No

Dear Host, Thank you for your application. Can you send us pictures of your home please: Student Bedrooms - Kitchen - Lounge room - Bathroom - Thank you

Dear Host, When you student arrives, please take a picture of your student and send to 0400 468 658 Also, please advise the student’s Australian mobile number and email address when you have it please and send to admin@homestay-australia.com