Host Family Application Form

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Host Family Application Form

PDF APPLICATION FORM

If you would like to fill PDF version, please send it to:

Interactive English

94 Church Road, Brighton & Hove
BN3 2EB, United Kingdom

We advise to use the latest version of Adobe Reader, download here.


Every year, many of our students stay with carefully selected local Homestay hosts.  This is a vital part of the cultural exchange and the host plays a large role in offering the student a view of another country and lifestyle.

After making an application the Accommodation Officer will contact you to organise a visit to your home. When we visit you we will explain more about hosting students, what to expect from the school and students.

Our requirements

  • You are happy to have a student at your home
  • You have a spare bedroom or bedrooms, suitable for both studying and sleeping
  • English is the primary or only language spoken in the home
  • You live within 40 minutes maximum by public transport from our school – preference is given to families who live closer.
  • Wi-Fi preferred

Online host family application form

Thank you for your intention to become a host family for Interactive English. We need a few details about your home and its occupants. All information is confidential and will only be given to students booked into your house. If you have any reservation about the nature of the information please don’t hesitate to contact us.

 

You and your family details



Applicant details

First Name (required)
Family Name (required)
Age (required)
Nationality (required)
Mother Tongue (required)
Address (required)
Post Code (required)
Telephone (required)
Mobile (required)
Work Telephone (required)
Email (required)



Partner details

First Name
Family Name
Age
Nationality
Mother Tongue



Details of children / other family members

Member 1

Name
Age
Gender
At home/not

Member 2

Name
Age
Gender
At home/not

Member 3

Name
Age
Gender
At home/not

Member 4

Name
Age
Gender
At home/not



Other details

Please give details of any domestic pets including breed of cats and dogs: (required)
Does anybody at your house smoke? (required)
Is your family vegetarian? (required)
Would you host a vegetarian? (required)
Are there any unusual family circumstances or medical problems? (required)



Your home / house details
(please tick/fill in where applicable)

Terraced Semi-detached Detached Bungalow Flat Other 

Total number of bedrooms? (required)
Do you have dining area? (required)
Do you have sitting room? (required)
Total number of bathrooms? (required)
Number of toilets? (required)
Do you have central heating? (required)



Students
(Please tick/fill in where applicable)

Room 1
Single Twin shared Twin alone Double alone Wardrobe Drawer space Desk/table TV 

Room 2
Single Twin shared Twin alone Double alone Wardrobe Drawer space Desk/table TV 

Room 3
Single Twin shared Twin alone Double alone Wardrobe Drawer space Desk/table TV 



Facilities available to student(s)

Do students have exclusive use of any of the bathroom, shower and toilet facilities? (required)
Regular laundry service? (required)
Provision of key? (required)
Place for private study, with chair? (required)
Access at all times to the sitting room? (required)
Telephone for incoming calls? (required)

Garden TV DVD PC Wi-Fi 
Half board Self catering 

Any other facilities available for students?



Travel Information

Which bus routes can be used to travel to and from Hove Town Hall? (required)
What is the approximate journey time to the Hove Town Hall by bus? (required)
How far is your house from the nearest bus stop? (required)



Hosting Preferences

Number of students
Sex
Age
Any restrictions?



Confirmation

Please tick here if it would be acceptable to pass your details on to a third party when we are legally
obliged to do so (for example a criminal record check or accreditation bodies)? Please note that this is very
important for students’ welfare and it may affect our decision to lodge students with you. (required)

Any other information?

I confirm the details above are true. I have read and agree to the terms.

Signed (required)
Name in CAPITALS (required)
Date (required)