Homestay Application Form
Apply on this page Complete this enrolment form We can access all Suburbs Auckland Schools

 


Student-Care NZ Ltd is currently accepting requests for placement of International Students into all Suburbs in Auckland, New Zealand’s largest city.


In order for us to find you a quality “Kiwi” Homestay, you will need to complete the following application form
(ALL Questions are compulsory).

 

Student’s Personal Information

 

First Name

Last (Family) Name
“Kiwi” English Name  
Home Country Address
(Please type in English)
New Zealand Address [if applicable]
(Where do you live now?)
Nationality    
Native Country Phone Number Native Mobile Phone Number
Native Country E-mail Address Native Country Fax Number
Gender Male Female    
Date of Birth Day/Month/Year  
       
Character:
      
Please select as many characteristics that apply to you
Optimistic Cheerful
Serious Outgoing
Shy Likes being on your own
Embraces an opportunity    
       
Do you like to spend a lot of time at home? Yes No Sometimes
   
Do you enjoy a very active social life? Yes No
   
Emergency Contact
  
Please provide details of two people we can contact in case of an emergency:

 
  FIRST EMERGENCY PERSON
First Name Family Name
    Phone Number
Fax Number Mobile Number
Address (in English)
   
   
  SECOND EMERGENCY PERSON
First Name Family Name
    Phone Number
Fax Number Mobile Number
Address (in English)
 
General Questions

 

Do you require a new school in New Zealand?  Yes No

 

How do you describe your Written English Level? Poor So so Good Very Good

 

How do you describe your Spoken English Level? Poor So so Good Very Good

 

Do you like friendly pets? Yes No Don't know

 

Please list your preference

I would like to live with a family with children

I would like to live with a family without children

 

 

Would you like a homestay with students of your own age? Yes No

 

Do you have any hobbies/interests? (i.e. soccer, music, netball etc)

 

 

Arrival Information

 

Airport pick-up required:  Yes No
Airport drop-off required:  Yes No

 

 

Arrival Date:  Airline:
Flight No: Arrival Time: am pm
Passport No:    

 

 

Do you have any allergies or medical problems? Yes No

(This information is extremely important)

 

Please describe

 

Do you have any other dislikes?

 

What is the name, address and phone number of your Agent?

 

In New Zealand

First Name Last Name
Phone Number Mobile Number
Fax Number email address
Address

 

Are you under 18 years of age, if so you must have a Guardian. What is your Guardian’s name, address and phone number?

 

In New Zealand

First Name Last Name
Phone Number Mobile Number
Fax Number email address
Address

 

 

Do you have any questions?.

 

 

 

 

 

Once you have completed and have submitted this form, you will be emailed a confirmation and an invoice for payment.

 

Please note that if you do not receive an invoice for payment within a week of your application, it is more than likely that we are still reviewing your application. We dedicate a lot of time and energy into ensuring that we only match and place students in homes that they have requested. Thus it is very important that you completely fill out the application form.