Homestay Family Application Form

 

 

Name of who is completing the form *
Name of who is applying *
Email Address *
Address *

 

 

 

Host Mother's Details

Name *
Date of Birth *
Occupation *
Place of Work *
Drivers License Number *
Mobile Number *

 
Host Mother's Referee

Name *
Phone Number *

 

 

 

Host Father's Details

Name
Date of Birth
Occupation
Place of Work
Drivers License Number
Mobile Number

 

Host Father's Referee

Name
Phone Number

 

 

 

If only one parent is living in the home, please supply an emergency contact details.

Emergency contact name and phone number

 

 

 

Bank Account Details

Bank Name *
Branch Name *
Account Number *
Suffix *

 

 

Do you have children in the home? If yes, please supply details.

Your Child's Details

Your Child's Name
Gender
Date of Birth
School attended or occupation
Lives at home
Interests

 

 

 

Additional Children

Second Child's Name
Gender
Date of Birth
School attended or Occupation
Lives at home
Interests
Third Child's Name
Gender
Date of Birth
School attended or occupation
Lives at home
Interests

 

 

 

Do you have anyone other than your family members listed living in your home? If yes, please supply details.

Name
Gender
Date of Birth
School attended or occupation

 

 

 

Host Family Details

How many people reside in your household? *
What is your families ethnic origin? *
Do any members of your family smoke? *
Do any members of your family suffer from any physical or mental illness or disability *
Do you belong to any religious group? If so, please advise which one. *
Do you have pets? (If yes, please provide brief details) *
Does your family have any special dietary habits (.e.g. vegetarian, no chicken or pork?) *
Describe the type of food/meals you cook and your meal time routines e.g. do you all eat together at the table, at the TV, early, late etc. *
Can you cater for any of the following: Vegetarian, Vegan, Gluten Free *
Please list sports, hobbies or special interest in which your family is involved. *
Describe what your family normally does during the weekend. *
Do you have any regular family holidays planned? If so where and when? Would you include the student? *
Please advise what rules and responsibilities the student will be expected to adhere to, including curfews, chores etc. *

 

 

 

House Details

Do you have broadband? *
Please describe your home (Number of bedrooms, lounges, bathrooms, size, facilities etc). *
Please describe your neighbourhood and the facilities in your area, including your area, distance to shops, school, school bus route, public transport. *

 

 

 

Other Details

Have you ever hosted international students before? (If yes, please provide brief details) *
Are you registered with any other school/organization to host international students? (If yes, please provide brief details) *
Do you have a preference on what nationality you host? (If yes, please provide brief details.) *
Preferred length of hosting *
Please give any further information that you think may be helpful. *

 

 

 

Police Vetting Form

Before you submit your application form you must download, complete and upload the Police Vetting Form. Download

Upload Police Vetting Form - Host Mother * (jpeg, png, or pdf. 5MB Max)
Upload Police Vetting Form - Host Father (jpeg, png, or pdf. 5MB Max)
Upload Police Vetting Form - over 18's who reside in the home (jpeg, png, or pdf. 5MB Max)
Upload Police Vetting Form - over 18's who reside in the home (jpeg, png, or pdf. 5MB Max)

 

 

 

Family & House Photos

Please upload some recent photos.

1 x Whole Family * (jpeg, png, or pdf. 5MB Max)
1 x family doing an activity together * (jpeg, png, or pdf. 5MB Max)
1x Outside of house * (jpeg, png, or pdf. 5MB Max)
1 x student bedroom * (jpeg, png, or pdf. 5MB Max)
1 x any pets in the house (If you have) (jpeg, png, or pdf. 5MB Max)

 

 

 

Acceptance of Terms

  • I / We accept that Tauranga Girls’ College reserves the right to decline any Homestay application. The School is not required to give reasons in these cases.
  • I / We agree that information gathered may be shared with other education providers if necessary.
  • I / We agree to undergo a NZ Police check on all people over the age of 18 residing in our home at any time before Tauranga Girls’ College students commence living in our home.
  • I / We accept that Tauranga Girls’ College will review the information supplied by the NZ Police Vetting service and will advise if my application has been successful.
  • I / We understand that the material supplied by the NZ Police Vetting service will only be accessible through the NZ Police. Any information received will remain confidential.
  • We are aware that the NZQA Guidelines for The Education (Pastoral Care of Tertiary and International Learners) Code of Practise 2021 - Schools prevents Tauranga Girls’ College from placing students with parents who have a criminal conviction.
  • We are aware there is no guarantee that when a student from TGC is placed with you that she will remain in your care for the duration of her stay. If your student is removed from your home, then we cannot guarantee that another student will be placed with you immediately.
  • Being registered as a homestay family for TGC does not guarantee a student placement.

  

Date of accepted terms *

 

 

 

TGC Homestay Carer Information Sheet

Please read the TGC Homestay Carer Information Sheet before submitting your application. Download