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
WHAT DATE DO YOU WANT HOMESTAY FROM?
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 INTERNATIONAL STUDENTS ?
DO YOU REQUIRE TRANSPORT FROM THE AIRPOT TO YOUR HOMESTAY?
DATE OF ARRIVAL
TIME OF ARRIVAL
 
FLIGHT NUMBER
AIRLINE
HOMESTAY COSTS
For students applying on an individual basis only.  
HOMESTAY PLACEMENT FEE:

NZ $ 230.00 including GST - PAYABLE IN ADVANCE [NON REFUNDABLE]

PLEASE NOTE - Placement Fee to be paid on application.

AIRPORT TRANSFERS:

NZ $ 92.00 each way - PAYABLE IN ADVANCE [NON REFUNDABLE]

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

HOMESTAY FEES:

Students over 18 years of age

NZ $260.00 PER WEEK, Single Room, Breakfast and Dinner provided. Three meals are provided on the weekends and Public Holidays.

Students under 18 years of age:

NZ $280.00 PER WEEK, Single room.Breakfast and Dinner provided.Three meals are provided on the weekends and Public Holidays.

If lunches are required Monday - Friday - an extra $25.00 is payable.

 
Method of Payment: 
Amount in NZD: 

PLEASE NOTE - Telegraphic Transactions (TT) - SWIFT Code - WPACNZ2W

I HAVE READ AND I UNDERSTAND THE RULES OF HOMESTAY

CLICK HERE TO READ THE COURTESY RULES