Host Registration Form Thank you for your interest in becoming a host family. Please complete this form with accurate and detailed information. All hosting procedures follow the New Zealand International Student Code of Practice, and all household members aged 18 and over will require police vetting. Please enable JavaScript in your browser to complete this form.Title *MrMrMrsMsOtherName *FirstLastEmail *Contact Number *Nationality *Home Address *Are you the owner of the property? *YesNoIf you are renting, we require written consent from the property owner/landlord to host a student. This ensures compliance with your tenancy agreement and provides stability for the student.How long have you lived at this address? *How long have you lived in New Zealand? *Emergency Contact Name *Not living with youRelationship *Contact Number *Number of household members *All people living at your address Full Name *Date of Birth *Nationality *Occupation *Relationship to Applicant *Police Vetting Required (Yes/No) *YesNoFull Name *Date of Birth *Nationality *Occupation *Relationship to Applicant *Police Vetting Required (Yes/No) *YesNoFamily member 3Full Name* Date of Birth* Nationality* Occupation* Relationship to Applicant* Police Vetting Required (Yes/No)Family member 4, 5, 6Full Name* Date of Birth* Nationality* Occupation* Relationship to Applicant* Police Vetting Required (Yes/No)Number of rooms available for homestay *Home & Room Details Number of rooms available for homestay *SingleDoubleTwinIs the student bathroom shared or private? *What furniture is provided in the student room? *Do you have Wi-Fi available (Yes/No) *YesNoIs your home compliant with NZ Healthy Homes Standards? (Yes/No) *YesNoDo you have working smoke alarms (Yes/No) *YesNoDo you have a fire extinguisher or fire blanket (Yes/No) *YesNoAre there any hazards in or around your home (Yes/No) *YesNoDistance to nearest bus stop *Distance to nearest school *Can you provide transport if needed (Yes/No) *YesNoFamily interests & activities *Family Lifestyle Typical weekday & weekend routine *Household rules (curfew, visitors, noise, etc.) *Do you expect students to join family meals (Yes/No) *YesNoDo you expect students to help with light chores (Yes/No) *YesNoPreferred student gender *MaleFemaleNo preferenceHosting PreferencesWilling to host students under 18 (Yes/No) *YesNoComfortable hosting students from different cultures (Yes/No) *YesNoComfortable hosting students with different religions (Yes/No) *YesNoHave you hosted international students before (Yes/No) *YesNoIf yes, how long and what nationalitiesWhy do you want to become a host family? *What makes your home suitable for international students? *Do you have pets (Yes/No) *YesNoIf yes, type of pets and names *Are pets allowed inside the house (Yes/No) *YesNoDoes anyone smoke inside the home (Yes/No) *YesNoEg, vegetarian, gluten free etcWhat type of food/cuisine do you usually prepare *Does your family have any dietary requirements* (Yes/No) *YesNoAre you able to accommodate student dietary needs* (Yes/No) *YesNoHow often do you attend servicesHow do you feel about hosting students with different beliefsHow often do you attend religions services?How would you feel hosting a student with a different religion or attending a place of worship other than your own?Bank Details For Homestay Payments Account Name *Bank *Account Number *IRD Number *Consent *I agree to the Homestay Plus Preliminary Guidelines and certify all info is correct.By ticking the box above, you have read, understand and agree to the conditions stated in the HP guidelines & agreement. HP Guidelines & Agreement Police vetting form Submit
