HOST APPLICATION - Auzzie Families Homestay care



Host Application

PLEASE COMPLETE THE FORM PROVIDING AS MUCH INFORMATION AS POSSIBLE

*If you are running a family Day Care Centre registered or private please contact our office prior to completing the online application.





Address Details





Hosting Information




Asian
Vegan
Modern Western
Kosher
Halal
Vegetarian
Gluten Free
No Pork

Sports
Reading
Beach
Computer Games
Outdoors
Dancing
Walking
Watching TV
Time with Friends
Shopping
Gym
Movies
Play Musical Instruments

Bus
Train
Ferry
Metro



Home Details





Public Liability & Home Content Insurance





Family Members

Firstname* Lastname* Relationship * Gender * Occupation DOB * If 18 and over, contact & WWCC details required Contact Email Contact Phone WWCC WWCC Expiry Date

Pet Details

Type of Pet Breed Location Name

Student Room Details

Room no * Size * Bed Size Bathroom Occupied Available date Room facilities

Declaration

1 . I/We understand the responsibilities and requirements of hosting an international student.

2 . I/We understand that Auzzie Familes Homestay Care attempts to select bona fide students and cannot be held responsible for any undesirable or negligent actions of the student.

3 . I/we approve Auzzie Families Homestay Care to collect, hold & work with my personal records solely for the purpose of conducting homestay agency duties. By providing Auzzie Families Homestay Care with your personal information you consent to us collecting, disclosing, storing & using it in accordance with our Privacy Policy. You have obtained prior consent to supply personal information of any other household members.

4 . We certify the answers given are true and correct to the best of our knowledge.



I agree to the above declaration, responsibilities and requirements as advised by Auzzie Families Homestay Care as set out on their website.





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