STUDENT APPLICATION - Auzzie Families Homestay Care



Student Application

Please fill out the form below, providing as much detail as possible.



Student Details




Student Contact Details




Agent Contact Details




Course Details




Arrival Details (if known) & Accomodation Requirements




Student Personal Details





Sports
Reading
Beach
Computer Gaming
Outdoors
Dancing
Watching TV and Movies
Outing with friends
Shopping
Gym

Documents Upload

Passport

Your Photo

Visa

Others

Declaration

Student requests are seriously considered but it may not be possible to meet all requests. Additional requests cannot be considered after placement confirmation or additional charges apply.


Do you agree to abide by Australia's Anti-Discrimination Law and Privacy Law?


I agree to abide by the Anti-Discrimination Law


I agree to abide by the Privacy Law



Have you read and agreed to the Auzzie Families Homestay Care Terms and Conditions?


I agree to the Auzzie Families Homestay Care Terms and Conditions






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