Brisbane Homestay Services
Brisbane Homestay Services

ACCOMMODATION

Homestay Host

Become a Host Family

Please fill in and submit the form below.  We will then contact you to arrange a suitable time to come and visit with you.

For further informaton please contact us.

Homestay Family Profile

Please press "submit" when completed, or print this form and fax it to +617 32897900.

HOST DETAILS
Family Name:*
First Name:*
Home Phone:
Work Phone:
Mobile:
Email:*
Occupation:
Year of birth:
Blue Card No:
SPOUSE/PARTNER DETAILS
Family Name:
First Name:
Home Phone:
Work Phone:
Mobile:
Email:
Occupation:
Year of Birth:
Blue Card No:
ACCOMMODATION DETAILS
House Number and Street:
Suburb: Postcode:
Can you accommodate vegetarians?
Can you accommodate Halal food requirements?
Can the students smoke?
Do you have Internet which students can access?
Describe your home: (eg- 2 story town house, 3 bed, 2 bath, air-conditioned, pool, etc)
FAMILY DETAILS:
What is your religion?
Does any member of the family speak another language
What interests do you have in accommodating students:
What hobbies do you and your family enjoy:
TRANSPORT DETAILS
Bus Number:    
INSURANCE INFORMATION:
Do you have a public Liability Policy of $20,000,000?
Would you like us to send you information on Homestay Host Insurance?
I certify that the information I have supplied in this form are true and correct.
I understand the responsibilities of being a homestay host family for the BHS program.
Are you happy for us to supply your amended profile to perspective students and agents looking to place students?
Name: Date:


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