Homestay Family Application

Please note: All fields are required to be completed to process your application.
Tip: If you are having difficulties completing the form please update your web browser to the latest version. (For optimum results, please try submitting using Google Chrome)

Applicant's Full Name:

Residential Address (No / Street / Suburb / State / Postcode):

Mobile No:

Email Address:

Date of Birth:

Occupation:

Residency Status:
CitizenPermanent residentTemporary resident


Religion (optional) (or N/A):

Other adults in the home (please list name, gender, date of birth, relationship & occupation):

Children in the home (please list name, gender, date of birth, school attending):

Do you have a child at Sandringham College? Please provide name and year level or N/A:

Languages spoken in the home (languages spoken and by whom):

Please nominate two references (name, contact number & email of one personal and one business referee):

Please list family activities and interests:

Do you have any pets? (Please list type/breed, size and whether the pets live inside or outside):

Is the home leased? (If so, how long is the lease?):

What foods are commonly eaten in the home at breakfast?:

What foods are commonly eaten in the home at lunch?:

What foods are commonly eaten in the home at dinner?:



DESCRIPTION OF HOME:

Number of available bedrooms? 123

Number of bathrooms in the home? 123


Description of living space?:

Description of heating/cooling in the home?:

Description of student's bedroom and bedroom furniture?:

Internet connection? BroadbandNBNnone


Nearby attractions (beach, park, shopping centre etc)?:

Proximity to shops (time & distance)?:

Proximity to transport (time & distance)?:

Please outline the trip to Sandringham College via public transport:

Does anyone in the house smoke? NoYes - insideYes - outside


HOMESTAY EXPERIENCE:

Please outline any relevant homestay; hosting; caring responsibilites with young people?:



HOMESTAY PREFERENCES:

Which age would you prefer hosting? 14-16 yrs17-18 yrsover 18 yrsany
Do you have a preferred gender to host? MFotherany
Student nationality preference? AsianEuropeanSouth Americanany

WORKING WITH CHILDREN CHECK:

All household members over 18 years of age are required to obtain a "Working With Children" check (volunteer category - not employee). There is no cost to apply (see above).

Add copy of WWCC (or receipt of application) (< 5Mb):

Add copy of WWCC (or receipt of application) (< 5Mb):

Do you have any other comments/preferences or experience you would like to share?

To verify that you are not a robot, please answer this simple maths equation: 18+2=