INTERNATIONAL HOMESTAYS (2004) LIMITED

INTERNATIONAL STUDENT SERVICES and INTERNATIONAL STUDENT HOMESTAY ACCOMMODATION

STUDENT APPLICATION

 


In order to reserve a residence in the International Homestay (2004) Ltd program please complete the form and send it to us

FAMILY NAME
FIRST NAME
PREFERRED ENGLISH NAME
DATE OF BIRTH
AGE
GENDER (SEX)
ADDRESS
COUNTRY
EMAIL ADDRESS
STUDENT ID NUMBER
PHONE NUMBER
MOBILE NUMBER
NZ CONTACT / GUARDIAN
PHONE
NAME OF SCHOOL OR UNIVERSITY
START DATE
HOBBIES AND INTERESTS
DO YOU HAVE ANY MEDICAL PROBLEMS / ALLERGIES
HOMESTAY REQUIREMENTS
DATE YOU WILL MOVE INTO HOMESTAY
DO YOU SMOKE ?
ARE YOU A VEGETARIAN?
DO YOU EAT BEEF / PORK / CHICKEN / FISH
DO YOU WANT A HOMESTAY WITH A DOG ?
DO YOU WANT A HOMESTAY WITH A CAT ?
DO YOU WANT A HOMESTAY WITH CHILDREN UNDER 15 ?
DO YOU WANT A HOMESTAY WITH CHILDREN OVER 15 ?
DO YOU WANT A HOMESTAY WITH OTHER STUDENTS ?
DO YOU REQUIRE TRANSPORT FROM THE AIRPOT TO YOUR HOMESTAY?
DATE OF ARRIVAL
TIME OF ARRIVAL
  
FLIGHT NUMBER
AIRLINE
HOMESTAY COSTS
    
HOMESTAY PLACEMENT FEE:
 NZ $205.00 including GST - PAYABLE IN ADVANCE [NON REFUNDABLE]
AIRPORT TRANSFERS:

NZ $80.50 each way - PAYABLE IN ADVANCE [NON REFUNDABLE]

Airport Pickups between 2100 - 0400 will incur a late pickup fee. Please enquire.

WEEKLY HOMESTAY FEES

Individual students only

NZ $220.00 PER WEEK, Single Room, Breakfast and Dinner provided.

PLEASE NOTE - Placement Fee to be paid on application.

NOTE: IHL will inform you when a suitable host is found. Four (4) weeks accommodation fees are required to be paid prior to release of Host information. If fees are not paid, booking will be cancelled.

Student to pay host $210.00 directly to host after 4 weeks.
ALL FEE'S PAYABLE ON CONFIRMATION OF BOOKING
Method of Payment: 
Amount in NZD: 

PLEASE NOTE - Telegraphic Transactions (TT) - contact International Homestays(2004) Ltd

I HAVE READ AND I UNDERSTAND THE RULES OF HOMESTAY