Apply for Homestay accommodation

Are you applying on behalf of a student? *

If you are a school official or an agent applying for your student, please provide your student’s detail below.

Provider's Name

Provider's Email

Student's Name *

First

Last

Preferred / English Name *

Date of Birth *

Gender *

Female
Male
Other

Email *

Nationality *

ID Number (Passport or Driver’s Licence) *

Where are you travelling from? *

Home Address *

Contact Number *

Please include your country code (e.g., +64, +82, +86).

Purpose of Visit *

School you will be studying at *

City you will be staying in *

Homestay Start Date *

Homestay End Date *

English Level *

Meal Plan *

Comfortable with pets? (Yes / No) *

Comfortable with children in the home? (Yes / No) *

Do you smoke? (Yes / No) *

Okay to stay with smokers? (Yes / No) *

Any food allergies? (Yes / No) *

If Yes:

Food Allergy Details

Dietary Requirements? *

Any health conditions we should know about? (Yes / No) *

If Yes:

Health Condition Details

Any Covid‑19 symptoms? (Yes / No) *

If Yes:

Covid‑19 Details

Do you require regular medication? (Yes / No) *

If Yes:

Medication Details

Any religious considerations? (Yes / No) *

If Yes:

Religious Details

Any other special requests? (Yes / No) *

If Yes:

Special Request Details

Type of family you prefer to live with

We will try our best, but preferences are not guaranteed.

Do you have a valid visa for New Zealand? (Yes / No) *

Arrival Date *

Arrival Time *

Flight Number (Arrival) *

Flight Number (Departure) *

Departure

Are you under 18? (Yes / No)

Do you need airport transfer? *

Emergency Contact Name *

Who will take care of you in New Zealand? ( if you are under 18, you need to have a caregiver)

Relationship to Student *

Parent/Legal Guardian Name *

First

Last

Parent/Guardian Contact Number *

Parent/Guardian Email *

Consent *

I declare that I have consent from my parent or legal guardian to submit this application.

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