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Student Application Form

Student's Surname*
Student's First Name
Nationality*
Passport Number
Date of Birth*
Gender*
Age
Current Address
What School/University are you attending in Australia? (Full Address)*
What course will you be taking?
Email Address*
Mobile Number
Address in Home Country*
Emergency Contact Person
Which city do you need Homestay Accommodation in?
Accomodation Start Date*
How many weeks do you want Homestay?* (Minimum 4 weeks)
Present English Level*
Do you prefer a family with Children?*
Do you have allergies living with a family that has pets?*
Do you have any allergies?
Do you have any dietary needs?*
Do you smoke?*

Homestay Package

Under 18 please contact us: info@homestaydirect.com.au

Placement Fee (Non Refundable): $230
 

Full payment of placement fee + accommodation x 4 weeks must be paid to confirm booking. All further accommodation payments after first 4 weeks must be paid to our office. 

  Once we have received all your details we will confirm with you the rate for homestay accommodation depending on which state and homestay package you have selected.
Name on Card
Type
Card No.
Expiary Date
Amount AUD$ There is a 3% bank fee on all credit card transactions.
Other Payment Options

Bank Transfer or Bank Cheque (payable to Homestay Direct Services)

Bank Name: Westpac Bank Melbourne
Bsb: 033 044
Account Number: 444 835
Account Name: Homestay Direct Services
International Transfers - Swift Code: WPACAU2S

 


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