|
FAMILY NAME
|
FIRST NAME
|
PREFERRED ENGLISH NAME
|
| DATE OF BIRTH
|
AGE
|
GENDER (SEX)
|
| ADDRESS
|
COUNTRY
|
|
| EMAIL ADDRESS
|
|
|
| STUDENT ID NUMBER
|
PHONE NUMBER
|
MOBILE NUMBER
|
| NZ CONTACT / GUARDIAN
|
PHONE
|
|
| NAME OF SCHOOL OR UNIVERSITY
|
START DATE
|
|
| HOBBIES AND INTERESTS
|
|
| DO YOU HAVE ANY MEDICAL PROBLEMS / ALLERGIES
|
|
| HOMESTAY REQUIREMENTS |
| WHAT DATE DO YOU WANT HOMESTAY FROM? |
|
| DO YOU SMOKE ? |
|
| ARE YOU A VEGETARIAN? |
|
| DO YOU EAT BEEF / PORK / CHICKEN / FISH |
|
| DO YOU WANT A HOMESTAY WITH A DOG ? |
|
| DO YOU WANT A HOMESTAY WITH A CAT ? |
|
| DO YOU WANT A HOMESTAY WITH CHILDREN UNDER 15 ? |
|
| DO YOU WANT A HOMESTAY WITH CHILDREN OVER 15 ? |
|
| DO YOU WANT A HOMESTAY WITH OTHER INTERNATIONAL STUDENTS
? |
|
| DO YOU REQUIRE TRANSPORT FROM THE AIRPOT TO YOUR HOMESTAY? |
|
| DATE OF ARRIVAL
|
TIME OF ARRIVAL
|
|
| FLIGHT NUMBER
|
AIRLINE
|
|
HOMESTAY COSTS |
For students applying
on an individual basis only. |
|
| HOMESTAY PLACEMENT FEE: |
NZ
$ 230.00 including GST
- PAYABLE IN ADVANCE [NON
REFUNDABLE]
PLEASE
NOTE - Placement Fee to be paid on application. |
| AIRPORT TRANSFERS: |
NZ
$ 92.00 each way - PAYABLE
IN ADVANCE [NON REFUNDABLE]
Airport
Pickups between 2100 - 0400 may incur a late pickup fee. Please
enquire. |
| HOMESTAY
FEES: |
Students over 18
years of age
NZ
$260.00 PER WEEK, Single Room, Breakfast and Dinner provided.
Three meals are provided on the weekends and Public Holidays.
NZ
$280.00 PER WEEK, Own Bathroom, Single Room, Breakfast and
Dinner provided. Three meals are provided on the weekends
and Public Holidays.
Students under 18 years of
age:
NZ
$280.00 PER WEEK, Single room.Breakfast
and Dinner provided.Three
meals are provided on the weekends and Public Holidays.
If lunches are required Monday - Friday
- an extra $50.00 is payable.
|
|
PLEASE NOTE
- Telegraphic Transactions (TT) - SWIFT Code - WPACNZ2W |
|
|
|
