Student Application

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Student Application

Student Application Form (Page 1 of 3)

Personal Details

First name * Last name *

Ph * Nationality *

Passport number * Date of birth *

Email * Gender Male Female *

General information

Do you take any medication? If yes, please describe *

Do you suffer from any allergy? If yes, please describe *

Favourite foods

Any foods you do not eat

Activities/hobbies

Your religion Can you live with pets? *

Can you live with children 0-10 years old? * Can you live with children 11-17 years old? *

Do you smoke? * Can you live with people who smoke? *

Other requests

Student Application Form (Page 2 of 3)

Student's Arrival Details

Do you require airport pick-up service? * If No, how will you get to Home Stay?

What time approximately are you going to be at your Home Stay? *

Flight Details

Your arrival date * Your arrival time * AM/PM? *

Purpose of visit? Study Internship Work Other * Flight number *

If Visit is for Study Purposes

Address of school

Name of school Name of course

Date school starts Date school ends

If Visit is for Internship or Work

Address of company

Name of company Position (if applicable)

Date job starts Date job ends

Referral Program

Name of person who referred you to Global Experience?

His or her mobile number

His or her email address

Student Application Form (Page 3 of 3)

Terms and Conditions

Global Experience Terms and Conditions

Please be advised that the accommodation placement fee, first 4 weeks of Home Stay and Airport pick-up will NOT be confirmed UNLESS fees are fully paid in advance.
Students must book their accommodation for the first 4 weeks unless certain circumstances apply (please speak to us to see if an alternative arrangement can be made).
Students are committed to stay in their accommodation for the first 4 weeks at least, unless extreme circumstances apply in which case Global Experience will act immediately.
Full Home Stay fees are only refundable if cancelled within 48 hours of receiving details.
Cancellations after 48 hours of details received incur a 2 weeks cancellation fee.
Accommodation Placement Fee and Airport pick-up are non refundable.
If you are using our Airport pick-up service and your arrival details have changed, you MUST notify us at least 48 hours in advnace otherwise full Airport pick-up fee will still apply.
If you do not use our Airport pick-up service and choose to make your own way to your Home Stay, please do NOT ask or expect your Home Stay family to pick you up from the airport as that is not part of the arrangement we had with your Home Stay.
Internet fee is not included in your accommodation price UNLESS if it is a VIP Home Stay. Internet fee is $10 per week and you need to make this arrangement directly with your host. Please note that movie and music downloads are NOT permitted. If you wish to do so, we suggest you to obtain a pre-paid internet wireless from an internet provider such as Optus, Vodafone, Telstra, Dodo, etc.

By ticking this box you confirm that you have read and understood these terms and conditions and agree to abide by the rules and regulations of Global Experience. *

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