Formulário de solicitação de família anfitriã

Applicant Details

Nome*

Primeiro Último

Era*

Nacionalidade*

Mother Tongue*

A photo of yourself

Endereço*

Endereço Endereço linha 2 Town Estado / Província / Região Postal Code País

Telefone residencial

Móvel*

Work Telephone

O email*

Details of Children / Other Family Members

Do you live with a partner?*

sim
Não

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

Partners Details

Nome*

Primeiro Último

Era*

Nacionalidade*

Mother Tongue*

Household Member 1

Nome*

Primeiro Último

Era*

Gênero*

Living at home*

Household Member 2

Nome

Primeiro Último

Era*

Gênero*

Living at home*

Household Member 3

Nome*

Primeiro Último

Era*

Gênero*

Living at home*

Household Member 4

Nome*

Primeiro Último

Era*

Gênero*

Living at home*

Other Details

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?*

sim
Não

Do you have a sitting room / lounge?*

sim
Não

Total number of bathrooms?*

Number of toilets?*

Do you have central heating?*

sim
Não

Photos of your house

Arraste os ficheiros para aqui ou

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

estudantes

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

Arraste os ficheiros para aqui ou

Facilities available to student(s)

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

sim
Não

Place for private study, with chair?*

sim
Não

Access at all times to the sitting room / lounge*

sim
Não

Other facilities available to students?*

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 - (Cama - Café da manhã - 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 - segunda a sexta

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.*

sim
Não

Any restrictions?

Confirmation &; Consents

Consentimento*

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 &; condições*

I agree to the Homestay Provider Terms & Conditions

Any other information?

CAPTCHA

Signed*

Name in CAPITALS*

Date*

Comentários

Este campo é para efeitos de validação e deve ser mantido inalterado.

Formulário de solicitação de família anfitriã

Applicant Details

Details of Children / Other Family Members

Partners Details

Household Member 1

Household Member 2

Household Member 3

Household Member 4

Other Details

Your home / House details

estudantes

Facilities available to student(s)

Catering and Food Options

Travel Information

Hosting Preferences

Confirmation &; Consents

Você tem perguntas? Precisa de mais informações?

How’;s Seu Inglês?

estudantes

agentes

Hosts Homestay

Terms &; políticas