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Homestay Host Information

First Name

Last Name

Gender

Relationship Status

Date of Birth

Nationality

Email Address

Phone Number

Occupation

Home Address

Household Members’ Information

Members

Do you have any pets?

If ‘yes’, please provide details.

Does at least one member of your household speak English at a proficient level?

If ‘yes’, please provide details.

Do you have a preference for male or female students?

Have you provided homestay accommodation for students previously?

If ‘yes’, please provide details (including which institutions you have worked with).

Accommodation Information

How many bedrooms do you have available for students?

What size bed(s) is/are available to students? (Please list all that apply)

Where is/are the student bedroom(s) located in your house? (Please list all that apply)

Would you be able to accommodate a student with limited mobility?

Is there a desk, or table and chair, in the house that the student can use for the purpose of study?

If ‘yes’, please state where.

Does/do the student bedroom(s) have an ensuite?

Are you willing to host under 18 students?

What laundry services do you offer to students?

Catering Information

Smoking & Alcohol Consumption Tolerance

Do you or any members of your household smoke or vape?

Would you be willing to accommodate a student who wants to smoke outside of your home?

Do you permit the alcohol consumption in your household?

Declaration

I have read and accepted the school’s terms and conditions.

I would like to sign up for marketing emails relating to accommodation news

Signature

Date

Attachments

Referees

To support your application, Kings Hall College requires the details of two referees (such as another English language school, a homestay host, a friend, or a neighbour).

Referees

Contact Name

Relationship to You

Contact Details

Contact Name

Relationship to You

Contact Details

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