HOMESTAY APPLICATION FORM
Byron Bay English Language School
:: PERSONAL DETAILS
Full Name
Address
Town
State Post Code
Postal Address
(if different)
Town
State Post Code
Home Phone Work Phone
Mobile Fax Number
Email*
* students often communicate with families before they arrive in Byron Bay
:: FAMILY/HOUSEHOLD MEMBERS:
Please also indicate if any family members do not live at home

INTERESTS AND HOBBIES
Please also include things you would like to do together with your student.
LIFESTYLE:
Please include your everyday commitments. Eg: Work 9-5pm, Children at school. Afternoon/weekend sport. If divorced or separated, please explain joint custody or visitations etc. This will give your student more of an idea about your family before they arrive into your home.
Please tell us how you heard about the homestay program and why you want to become involved?
Is your family vegetarian Yes : No If 'yes' will you cook meat for a student? Yes : No
Do you have any pets? Yes : No Please specify type:
Are the pets kept: Inside : Outside : Both
Smokers in your family? Yes : No
Do you prefer: Non Smoking Smoke outside only No Preference
How many students can you accommodate? 1 2 3 Twin Double
Comments:
Student Room Includes:
Single bed Desk & chair Internet/wireless
Double bed Side table/lamp Ensuite
Queen bed Cupboard/drawers TV/DVD/VCR
Other:
Please tick your preferences:
Female Male   No Preference
16-20yrs 21-25yrs 25 & Over No Preference
2-4 wks 5-8 wks 9-12 wks No Preference
Nationality No Preference
:: BANK DETAILS
Name of Account Holder:
BSB:
Account No:


Please include some happy, smiley close up photos of all the family members who live at home (inluding pets!)

You could send a link to your photos in the comment field below, such as a link to your Picassa web album or another online album, or you could send the photos by email to homestay@bbels.com.au

The upload button below is currently only for a small file.

Other comments: