Værtsfamilie ansøgningsskema

Applicant Details

Navn*

Fornavn Efternavn

Alder*

Nationalitet*

Mother Tongue*

A photo of yourself

Adresse*

Adresselinje Adresselinje 2 Town Stat / Provins / Region Postal Code Land

Home Phone

Mobil*

Work Telephone

E-mail*

Details of Children / Other Family Members

Do you live with a partner?*

Ja
Ingen

Do any other family members live with you? If so, how many?*

Partners Details

Navn*

Fornavn Efternavn

Alder*

Nationalitet*

Mother Tongue*

Household Member 1

Navn*

Fornavn Efternavn

Alder*

Køn*

Living at home*

Household Member 2

Navn

Fornavn Efternavn

Alder*

Køn*

Living at home*

Household Member 3

Navn*

Fornavn Efternavn

Alder*

Køn*

Living at home*

Household Member 4

Navn*

Fornavn Efternavn

Alder*

Køn*

Living at home*

Andre Detaljer

Please give details of any domestic pets including breed of cats and dogs

Does anybody at your home smoke?*

Are there any unusual family circumstances or medical problems?

Your home / House details

What type of house do you live in?*

Total number of bedrooms?*

Do you have a dining area?*

Ja
Ingen

Do you have a sitting room / lounge?*

Ja
Ingen

Total number of bathrooms?*

Number of toilets?*

Do you have central heating?*

Ja
Ingen

Photos of your house

Slip fil her eller

Please try to include a picture of the front of your house if possible

Studerende

How many rooms do you have available to students?*

Room One*

Single
Twin Shared
Twin Alone
Double Alone
TV
En-suite bathroom

please select all that apply

Room Two*

Single
Twin Shared
Twin Alone
Double Alone
TV
En-suite bathroom

please select all that apply

Room Three*

Single
Twin Shared
Twin Alone
Double Alone
TV
En-suite bathroom

please select all that apply

A photo of the student/s bedroom

Slip fil her eller

Facilities available to student(s)

Do students have exclusive use of any of the bathroom, shower and toilet facilities?*

Ja
Ingen

Place for private study, with chair?*

Ja
Ingen

Access at all times to the sitting room / lounge*

Ja
Ingen

Other facilities available to students?*

Garden
TV
DVD
PC
Trådløst internet

Any other facilities available for students?

Catering and Food Options

Please select all of the options below that you are happy to provide.

Food and catering options you are happy to provide?*

Self Catering (Room Only) - Set Times for Kitchen Use (Adult Students only)
Standard Package - (Seng - Morgenmad - Dinner and 2 Packed Lunch) - Any extras at additional cost
Special Diet Requirement - Halal Food
Special Diet Requirement - Vegetarian
Special Diet Requirement - Vegan
Special Diet Requirement - Gluten Free
Late check in and check out
Packed lunch - mandag til fredag

Travel Information

Which bus routes can be used to travel to and from Canterbury City Centre?*

What is the approximate journey time to Canterbury City Centre?*

How far is your house from the nearest bus stop?*

Hosting Preferences

Number of Students you are willing to host?*

Sex*

Age Preference*

Under 18
18 and Over

Do you drive and are you happy to collect and drop off under 18 students from their arrival and departure points.*

Ja
Ingen

Any restrictions?

Confirmation &; Consents

Samtykke*

Please tick here to confirm it is acceptable to pass your details on to a third party when we are legally obliged to do so (for example a criminal record check or accreditation bodies)? Please note that this is very important for students’ welfare and it may affect our decision to lodge students with you.

Terms &; Betingelser*

I agree to the Homestay Provider Terms & Conditions

Any other information?

CAPTCHA

Signed*

Name in CAPITALS*

Date*

Kommentarer

Dette felt er til validering og bør ikke ændres.

Værtsfamilie ansøgningsskema

Applicant Details

Details of Children / Other Family Members

Partners Details

Household Member 1

Household Member 2

Household Member 3

Household Member 4

Andre Detaljer

Your home / House details

Studerende

Facilities available to student(s)

Catering and Food Options

Travel Information

Hosting Preferences

Confirmation &; Consents

Har du spørgsmål? Har du brug for mere information?

How’;s Your engelsk?

Studerende

Agenter

Homestay værter

Terms &; Politikker