Private Board Application

Online Private Board Application

Full Name of Student (required)

Student's Date of Birth (required)

Gender (required) MaleFemale

Nationality (required)

First Language (required)

Your Contact Email (required)

Your Contact Home Phone (required)

Home Address (required)

Emergency contact name (required)

Relation to you (required)

Emergency Contact Email (required)

Emergency contact phone number (required)

Do you smoke?

Note: Students are NOT permitted to smoke inside the homestay homes. Some homestay families allow students to smoke outside of their home.

Are you allergic to any animals?

If so, please specify

Will you have your own car at your flat?

If yes, what's your driver's license number/s?

By submitting this application, you certify that you understand and agree to the following terms and conditions:

A non-refundable service fee is required when the students submit a private board application form.
NZESTAR is not responsible for any lease signed between the student and the landlord.
The private board application must be submitted to the homestay team no later than 3 weeks before moving into a flat. Students who submit a late application will be charged a NZD$100 emergency placement fee.

Signed by full Name of Applicant (required)

Signed-Date

Check to sign this form: I agree

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