Online Host Family Application

For NZEStar to place an international student who will best fit into your family, please take a few minutes to complete our homestay application. Thank you.

Title (required)
Your Full Name (required)
Date of Birth (required)
Nationality
Spoken Language
Your Contact Email (required)
Your Contact Home Phone (required)
Occupation
How many student can you accommodate
Home address
Postcode

 


Spouse details (if applicable)

Title (required)
Spouse Full Name (required)
Spouse Date of Birth
Nationality
Spoken Language
Contact number
Occupation

Please list any other family members including students living at home

Fill-out if applicable

Name
Date of Birth
Relationship
Name
Date of Birth
Relationship
Name
Date of Birth
Relationship
Name
Date of Birth
Relationship

 


Home information

Is this a smoke-free home?
Do you have any pet/animal?
Is WIFI Internet available?
Is there a landline Telephone available?
Do you allow any pet/s?
Car Parking

Bedroom information

Bed size
Room share

Bedroom furnishing: Study deskDesk lampWardrobeWall mirrorTelevisionEnsuiteHeating

 


Culinary information

Would you be prepared to provide special diets?

If so, please check what you could provide: VegetarianDiabeticHalalGluten-FreePeanut AllergyLactose IntolerantDairy free

 


Hosting Preferences

Will you accept student who smokes?
Preferred gender of student/s

Preferred age of student/s: 10-18 years18+ years50+ years

 


About your family

Please tell us something about you and your family (i.e. sports, hobbies, leisure activities...etc).

How did you find us?
Would you recommend our services to others?

Bank Account Details for Direct Credit (Optional)

Bank Name
Account Name
Account Number

Thank you for taking your time to fill-out this form! A $20 Westfield gift voucher is given out to every successful new homestay host referral!