Homestay application form ◇ Homestay Application Form ◇ Surname* Address* Contact Person* Phone Home Phone Mobile Phone Work E-mail* ◇ All Person Living Your Home ◇ 1.Given Name 1.Day of Birth(Day/Month/Year) 1.Occupation 1.Nationality 2.Given Name 2.Day of Birth(Day/Month/Year) 2.Occupation 2.Nationality 3.Given Name 3.Day of Birth(Day/Month/Year) 3.Occupation 3.Nationality 4.Given Name 4.Day of Birth(Day/Month/Year) 4.Occupation 4.Nationality 5.Given Name 5.Day of Birth(Day/Month/Year) 5.Occupation 5.Nationality 6.Given Name 6.Day of Birth(Day/Month/Year) 6.Occupation 6.Nationality ◇ Bluecard number for all members aged over 18 years- if bluecard held Name, Number& expiry dates please ◇ 1.Name 1.Number/expiry dates 2.Name 2.Number/expiry dates ◇ Your Family Information For Gday Study Australia and Guest ◇ Have you hosted overseas guests before? YesNo What kind of home do you own/rent? ---UnitTownHouseHouse Do you have any special amenities at your home? SpaPoolSaunatennis courtpianoorganother How many guest bedrooms do you have? Bed size? single bed, twin bed, Double/Queen bed Please indicate with a tick which age groups you will accept. Under 3years4-12years13-17years18-35yearsover 35yearsMother&Child What kind of pets and how many do you have? Are you vegetarian? YesNo Could you cook vegetarian for short time? Please indicate if you do not eat certain meats, chicken or fish. Do any family members smoke inside your home? YesNo Do any family members smoke outside? YesNo Please advise your ruling on guest smoking! inside okoutside onlynot at all What are your family interests and hobbies? Bus/tram information to Southport! Whom do you prefer for your homestay guest? MaleFemaleeither Do you attend any particular Church regularly? Some students request a host family who may be of a particular religion and some want to go to Church with family. We try very hard to fulfill their requests and the students are so happy when we can.Please advise details here. Please indicate if you have internet connection available for student use. If so, what type of connection do you have and what restrictions are there? Do you charge an extra weekly fee for internet use? Students are told not to download any music or movies.