Homestay Sydney - Global Experience

Home Stay accommodation programs in Sydney, Australia, for international students and visitors – Global Experience.

Home Stay accommodation programs in Sydney, Australia, for international students and visitors – Global Experience.

Host Family Home Stay

APPLICATION FORM

Provide as much information as possible as this will speed up your application.

YOUR DETAILS

*DENOTES REQUIRED FIELD

*Name:

*Address:

*City:

*State:

*Post Code:

*Phone (H):

Phone (W):

Mobile:

Fax:

*Email:

When is the best time to contact you at home?	AM PM
*What is the first date you could take in students?

ACCOMMODATION DETAILS

1. *Total rooms available for students.

Room Types:

Total number of rooms available

Number of single rooms available

Number of twin rooms available

Can accommodate a couple? (double bed)

Yes No

Other:

(please specify)

2. *Bathrooms in the house

Number of toilets

Number of bathrooms

Will the student/s have their own bathroom?

Yes No

3. *Type of Dwelling (Please select)

House Semi/Terrace Flat/Unit Other

Other:

(please specify)

4. *Smoking

Are there any smokers in the house?

Yes No

Do you allow smoking in your home?

Yes No

Outside Only

5. *Pets

Do you have any pets?

Yes No

If Yes :

(please specify)

Do they live in or outside the house?

In Out

6. *Pastimes and Interests

Please list pastimes and interests of family members

7. *Preferences

Please specify your student preferences if any,
and state why you have such preferences

Age Range: Between

and

Gender:

Male Female No Preference

Other preferences

Reason for preference

*Meal preference for your Home stay guest:

Home Stay with Meals Provided

Home Stay without Meals Provided

8. Religion

Some students have a preference for a family of a certain religion. It would be helpful if you were able to answer these questions; however, they are not compulsory.

What is your religion?

Do you have a preference for a student of a certain religion?

Yes No

9. *Diet

Occasionally students have special dietary requirements (e.g. vegetarian).

Are you able to accommodate students with special
dietary requirements?

Yes No

If so, please provide details

Do you have any special dietary requirements?

Yes No

If so, please provide details

10. *Health

Are you able to accommodate students with
asthma, hay fever or other allergies?

Yes No

Are you able to accommodate students with disabilities?

Yes No

If so, please provide details

Are you able to accommodate students in wheelchairs?

Yes No

11. *Entertainment

Please tick the entertainment facilities that are available to students at your home

Computer	Internet Access	Swimming Pool	Tennis Court
CD player	Video Player	DVD Player	Games Room
Piano	Other:

12. *Family Details

Please list ALL family/household members (including yourself) and their relationship to the main contact e.g. husband, wife, son, daughter

* Family Member 1 (Main Contact)
Name:	Date of Birth:
Relationship:	Gender:	Male Female
Occupation/Education:

Family Member 2
Name:	Date of Birth:
Relationship:	Gender:	Male Female
Occupation/Education:

Family Member 3
Name:	Date of Birth:
Relationship:	Gender:	Male Female
Occupation/Education:

Family Member 4
Name:	Date of Birth:
Relationship:	Gender:	Male Female
Occupation/Education:

Family Member 5
Name:	Date of Birth:
Relationship:	Gender:	Male Female
Occupation/Education:

Family Member 6
Name:	Date of Birth:
Relationship:	Gender:	Male Female
Occupation/Education:

Family Member 7
Name:	Date of Birth:
Relationship:	Gender:	Male Female
Occupation/Education:

13 *Other Information
Have you hosted international students in the past?	Yes No

NEWSLETTER

HOST FAMILY OF THE MONTH

Meet our Host Family of The Month
The Devapiriam Family

LINKS

VIDEO

Watch out for our new
Global Experience
Home Stay Video!

Providing you with the best possible
advice and options for somebody new
to Australia and its unique culture.

PROUD MEMBER OF: