Apply for Homestay Placement | Eastern shores international homestay

Fill out this form below and apply for home-stay placement today.

Please complete the form below to apply for home-stay placement

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Your Details

Family Name

Given Names

Date of Birth

Country of Birth

What is your native language?

Gender

Male Female

Address

Telephone Number

Email Address

Religion

If twin placement, please provide second applicant's name. Please ensure the second person fills their own application.

Next of Kin Details (Emergency contact)

Contact Name

Relationship to You

Address

Email Address

Telephone

Flight details

Airline

Flight Number

Airport of Arrival

Date of Arrival

Date of Departure

Place of Study

Are you studying in Brisbane or the Gold Coast?

Brisbane Gold Coast

Name of School

Course

Location

Start Date

Finish Date

Agent's Details

Company

Agent's Name

Telephone

Email Address

Homestay accommodation dates required

Once you make your selection, an itemised quote will be sent directly to you by email for acceptance. Pricing starts from $300 per week depending on your choices and age.

Arrival Date

Depart Date

Number of days or weeks

Package Inclusions

Accommodation placement fee $260

Homestay Meal Package

Full Board ( breakfast, lunch and dinner daily) Half board (breakfast, dinner daily); all meals on weekends when at home Board only (no meals; you will organise your own food)

Transportation

Family to transport to and from place of study You will make your own way to and from place of study

Airport pick up and drop off

Agent will pick you up, take you to homestay and back on departure You will make your own way to and from homestay on arrival and departure

All students/visitor are charged a bank fee of $50 for international transfers. No credit cards payments. All payment options are shown on the bottom of the invoice. All packages include Wi-Fi.

If you are unable to complete the form please fill out the attached form below

GOLD COAST – Student Homestay Application Form

BRISBANE – Student Homestay Application Form

Apply for Home-Stay Placement

Fill out this form below and apply for home-stay placement today.

Your Details

Family Name

Given Names

Date of Birth

Country of Birth

What is your native language?

Gender

Address

Telephone Number

Email Address

Religion

If twin placement, please provide second applicant's name. Please ensure the second person fills their own application.

Next of Kin Details (Emergency contact)

Contact Name

Relationship to You

Address

Email Address

Telephone

About You

Level of english

Have you lived away from home before?

Do you like children in the family?

Do you like cats & dogs?

Do you have any allergies, medical conditions or special needs?

If yes, please give details

Do you take medication?

If yes, please give details

Are there any foods that you dislike?

If yes, please give details

Do you smoke?

Please tell us a little about yourself (hobbies and interests)

Flight details

Airline

Flight Number

Airport of Arrival

Date of Arrival

Date of Departure

Place of Study

Are you studying in Brisbane or the Gold Coast?

Name of School

Course

Location

Start Date

Finish Date

Agent's Details

Company

Agent's Name

Telephone

Email Address

Homestay accommodation dates required

Arrival Date

Depart Date

Number of days or weeks

Package Inclusions

Homestay Meal Package

Transportation

Airport pick up and drop off

Ready to get started?

Apply for
Home-Stay Placement