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Homestay Application Form

Thank you for considering to become a Homestay Family for Owairoa Primary School.

Hosting international visitors can be a truly rewarding experience.If this exciting opportunity appeals to you and your family, we welcome you to complete the following application form.

Upon receiving your application, our Homestay Manager will arrange a convenient time to visit your home. The home visit is an informal appointment to meet you and see your home environment that you will offer to your homestay visitors.

You are welcome to contact us anytime via email homestay@owairoa.school.nz if you have any questions.

We look forward to receiving your application.

Homestay Adult 1

Surname *	First Name *	Gender
Date of Birth (dd/mm/yyyy)	Country of Birth	Email *
Home Phone	Work Phone	Mobile

Homestay Adult 2

Surname	First Name	Gender
Date of Birth (dd/mm/yyyy)	Country of Birth	Email
Home Phone	Work Phone	Mobile

Children/Other Members of the Household

	Name	Gender	Date of Birth	Occupation
1
2
3
4
5

Home Details

Street Address	Suburb	Postcode
How many bedroom/s are available for the International Visitors?
What type of bed/s do you have available? eg. single/bunk/double/queen
Will the bathroom available for the International Visitors be private use or shared?

Visitor Preferences

Preferred Gender of Student/s MaleFemaleEither

Availability to host accompanying adult/s YesNo

Preferred visitor type Students onlyStudents with adult/s

Number of visitors able to accommodate

General Information Have you hosted International Visitors before? YesNo
Is wi-fi internet access available? YesNo
Is your home smokefree? YesNo
Interests and activities your family enjoy doing Reasons for offering to homestay International Visitors List any pets in your household Specify any dietary requirements in your household? e.g vegetarian, gluten free

Banking Details Homestay payments will be direct credited to your nominated bank account

Account Name
Account Number

Photo Upload

Photo of family
Photo of home
Photo of bedroom/s
Other (if needed)

Additional Information Please provide any further information that may be relevant to your application that has not been mentioned previously:

Declaration I acknowledge that the above information is true and correct and that I have read, understood and agree to the terms and conditions of Homestay for Owairoa Primary School


Please note that once you submit your application, you will not be able to make changes to your application. Please check your application form carefuly before you click "Submit" button.