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

Student's Preferred Name/English Name *

Date of Birth *

Gender *

Female
Male

Email *

Nationality *

Please enter your valid ID Number (Passport No. or Drivers license)

Where are you travelling from? *

Home Address *

Contact Number *

Please add the national number first, e.g. +64 +82 +86

What is the purpose for your visit? *

School will you be studying

City will you be staying *

Homestay Start date *

Homestay End date *

English Level *

Meal Plan *

Are you happy to stay in a home with pets? *

Are you happy to stay in home with kids? *

Do you smoke? *

Are you ok to stay with smokers? *

Do you have any food allergy? *

If yes, please provide details

Dietary Requirements? *

Do you have any health condition that we should be aware of? *

If yes, please provide details

Do you have any symptoms of Covid-19, e.g. cough, sputum, shortness of breath, fever, etc? *

If yes, please provide details

Do you require regular medication? *

If yes, please provide details

Any special attention with your Religion? *

If yes, please provide details

Do you have any other special request? *

If yes, please provide details

Type of family you would prefer to live with?

We’ll try our best, but no guarantees.

Do you have valid visa to come to New Zealand? *

Arrival Date *

Arrival Time *

Flight Number *

Arrival

Flight Number *

Departure

Are you under the age of 18?

Do you need Homestay Plus to arrange an airport transfer for you? *

Emergency Contact *

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

Parent/Legal Guardian Name *

First

Last

Relationship of the Parent/Legal Guardian *

Contact Numbers *

Email *

Consent *

I declare that I have the consent from my parents or legal guardian to submit this homestay application.