Become a Homestay Host

First Name

Last Name

Gender

Relationship Status

Date of Birth

Nationality

Email Address

Phone Number

Occupation

Home Address

Members

Do you have any pets?

If ‘yes’, please provide details.

Does at least one member of your household speak English at a proficient level?

If ‘yes’, please provide details.

Do you have a preference for male or female students?

Have you provided homestay accommodation for students previously?

If ‘yes’, please provide details (including which institutions you have worked with).

How many bedrooms do you have available for students?

What size bed(s) is/are available to students? (Please list all that apply)

Where is/are the student bedroom(s) located in your house? (Please list all that apply)

Would you be able to accommodate a student with limited mobility?

Is there a desk, or table and chair, in the house that the student can use for the purpose of study?

If ‘yes’, please state where.

Does/do the student bedroom(s) have an ensuite?

Are you willing to host under 18 students?

Do you or any members of your household smoke or vape?

Would you be willing to accommodate a student who wants to smoke outside of your home?

Do you permit the alcohol consumption in your household?

I have read and accepted the school’s terms and conditions.

Signature

Date

Attachments

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