Host Family Online Application Form Page 1/3 If you would like to apply to become a Host for an Australian Homestay then please fill in the form below. Primary Applicant's Details Family Name* First Name* Date of Birth* Indentification Verification* Please choose Australian Passport NSW Drivers Licence Australian Passport Number* NSW Drivers Licence Number* Email Address* Home Address Street Address* Suburb* Mobile Phone* Home Phone* Your Occupation* Full Time or Part Time?* Please choose Full Time Part Time next Page 2/3 Other Family Members' Details Do you have a Partner living with you?* Please choose Yes No Partner’s Name* Partners Date of Birth* Partner’s Occupation* Full Time or Part Time?* Please choose Full Time Part Time Partner's Email Address* Partner’s Mobile Phone* Do you have Children? (include those living away from home)* Please choose Yes No Child 1 Child's Name Male/Female? Please choose Male Female Date of Birth Child 2 Child's Name Male/Female? Please choose Male Female Date of Birth Child 3 Child's Name Male/Female? Please choose Male Female Date of Birth Child 4 Child's Name Male/Female? Please choose Male Female Date of Birth Any Other Regular Visitors Who Stay Overnight?* Please choose Yes No If Yes, please provide details:* back next Page 3/3 About Your Home Number of Students you are able to accommodate?* One Two Three Four Number of Spare Rooms available for Students?* One Two Three Four Do you have a Private Bathroom for a Student? (i.e. nobody else has access)* Please choose Yes No Other languages spoken at home?* Please choose Yes No If Yes, please list* Do you have Pets?* Please choose Yes No If Yes, please list type, breed and age of each pet* Laundry Host will wash bed linen?* Please choose Yes No Host or Student washes clothing?* Please choose Host Student If Student, Host agrees to show Student how to use washing facilities.* Yes No Student Facilities TV* Please choose Yes No DVD/Video* Please choose Yes No Cable TV (e.g. Foxtel)* Please choose Yes No Swimming Pool* Please choose Yes No Spa* Please choose Yes No Computer* Please choose Yes No Other Internet Access Internet Access Provided?* Please choose Yes No If Yes, how?* Please choose Wi Fi Network Phone Line (ADSL) Wireless Modem Cable NBN Smoking Smoking Allowed Inside?* Please choose Yes No Smoking Allowed Outside?* Please choose Yes No Public Transport Closest Public Transport option?* Please choose Bus Train Ferry If Bus, Route Numbers If Train, Station Name If Ferry, Wharf Name Walking distance & time from home to Bus/Train/Ferry* Travel time to the city from home in minutes (numerical value only)* How many changes of Bus/Train/Ferry to/from the city?* Please choose 0 1 2 3 Are you currently registered with/using any other Homestay Providers?* Please choose Yes No If Yes, Homestay Provider's Name, Address, Email & Phone Number?* Anti Spam Code back submit Thank you for your Host Application! We will be in contact with you shortly! Please turn on javascript to submit your data. Thank you!
Testimonials
My Host family is very kind of me even if I cannot speak English well. So I had a good time while I stayed as a Homestay. I was a very precious experience!! I will never forget it forever.
Japanese Student