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
I have been a Homestay Host with Meridian Homestay Services for three years and was impressed from the outset with the friendly and professional approach of the staff at Meridian.
Meridian Host Family