Host names :
*
Host nationality:
*
Host occupation:
*
Host mobile:
Host email address:
*
Host full address including suburb state and postcode
*
Date of Birth
*
Home telephone number:
*
Family members who live at home:
*
Pets in the home please provide details (ie 1 cat 2 dogs 1 bird etc)
*
Family interests:
*
Public transport from your home:
*
Tram
Train
Bus
None Available at this time
Time to walk to nearest public transport:
*
Time to travel into the city:
*
Do you have other international students at your home:
*
Yes
No
Preferred gender of students:
*
Male
Female
No preference
Preferred homestay service available from your home:
Full Board-2 meals per day 3 meals on the weekend
Part Board - No Meals
Do you have internet access at home :
Broadband via network cable
Broadband via wireless
Dial up via network cable
Dial up via wireless
None Available at this time
Date available to host students:
*
Do you smoke:
*
Yes
No
Please describe your home (ie. 3 bedroom weatherboard)
*
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