Brisbane Host Family Application

HOST INSURANCE

• Host families must have Home & Contents Insurance and Public Liability Insurance to be student inclusive.
• Certificate of Currency for both of these are essential and we need copies.
• Liability Student Cover is available from Auzzie Families.

Please fill in this form and click SUBMIT.

Personal Details - Host

1. Given Name(required)
2. Family Name(required)
3. Occupation(required)
4. Work Phone
5. Home Phone
7. Mobile
8. Email(valid email required)
9. Date of Birth
10. Gender
11. male female

Personal Details - Spouse/Partner

1. Spouse's Given Name
2. Spouse's Family Name
3. Spouse's Occupation
4. Spouse's Date of Birth
5. Spouse's Gender
6. male female

Address

1. Home Address
2. Suburb
3. Postcode
4. Transport time to CBD
5. Do you have compulsory content insurance?
6. yes no
7. Do you require optional host insurance?
8. yes no

Children

1. Do you have children at home?
2. yes no
3. If yes, please list their date of birth and gender
4. Does anyone else live with you?

Pets

1. Do you have any pets?
2. Cats
3. no cats yes cats
4. Number of cats
5. Dogs
6. no dogs yes dogs
7. Number of dogs
8. Breed of dog

Facilities

1. Is internet available ?
2. yes no
3. Please describe your home
4. House Apartment Townhouse Semi
5. My home is
6. New Renovated Older-style
7. Number of Bedrooms
8. Number of Student Bedrooms?
9. Number of Bathrooms
10. Number of Student Bathrooms

Homestay

1. Have you had previous homestay experience?
2. yes no
3. Type of accommodation
4. Homestay with meals Self Catering Granny flat
5. Student preference
6. All Students Male Female Underage

 

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Submitting this form does not guarantee acceptance or registration