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Homestay Registration Form

Where are you based?

Where are you based?

Email

MOU (Memorandum of Understanding for Homestay Hosts) 
Please, enter on the link below and submit - https://tally.so/r/aQAbQB

Police Vetting Form
Please email stay@lsnz.co.nz for Police Vetting Form
One for each over age living in the house
Please, only fill out Pgs. 3 and 4

D.O.B

Occupation

(Host Parent 1) Full Name

Nationality

Mobile Number

House Address

BANK DETAILS

Name of Bank

Full Account Number

Account number (00-0000-0000000-000)

House Information

Please describe the layout and features of your house, including details about the number of bedrooms, living spaces, outdoor areas, and any appliances or furniture?

Does your house have a lock on all doors?

Does your house have a lock on all doors?

Can you host multiple students at the same time?

Can you host multiple students at the same time?

Do you have smoke alarms in your house?

Do you have smoke alarms in your house?

House photos (Bathrooms, Bedrooms, Kitchen, etc.)

Do you have heaters/heat pumps in your house and in the student room?

Family Information

Family photos 
2 or 3

Driving License (from all 18+ in the home)

Please tell us about your family. This information will be included in the homestay letter sent to the students.

Please tell us about your family interests

Please tell us about any specific rules around the house if there is any.

Matching Information

Do you have children or any other member living with you? If yes, please provide their names, dates of birth, and gender.

Do you have any pets? If yes, please describe.

Does anyone in the house smoke?

Does anyone in the house smoke?

Would you host smokers? (if smoke outside)

Would you host smokers? (if smoke outside)

Would you host students of any gender?

Would you host students of any gender?

Are you able to host students with specific dietary requirements?

Are you able to host students with specific dietary requirements?
A
B
C
D
E
F
G
H
I

I hereby apply for Homestay as described above and I certify that, to the best of my knowledge and belief, the information given in this application is complete and accurate.

This online application will be treated as confirmation of your acknowledgement and acceptance of the responsibilities and liabilities.
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