INTERNATIONAL HOMESTAYS (2004) LIMITED

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
PASSPORT 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 $177.78 plus G.S.T.(12.5%) - PAYABLE IN ADVANCE [NON REFUNDABLE]
AIRPORT TRANSFERS:
 NZ $65.00 plus G.S.T.(12.5%) EACH WAY - PAYABLE IN ADVANCE [NON REFUNDABLE]
WEEKLY HOMESTAY FEE:

(1) NZ $210.00 PER WEEK, Single Room, Breakfast and Dinner provided.

(2) NZ $200.00 PER WEEK PAYABLE 2 WEEKS IN ADVANCE DIRECT TO THE HOMESTAY ON ARRIVAL

( NOTE) Option 2 applies only to students who will be attending the University of Auckland

 
 ALL FEE'S PAYABLE ON CONFIRMATION OF BOOKING
Method of Payment: 
Amount in NZD: 

I HAVE READ AND I UNDERSTAND THE RULES OF HOMESTAY