Homestay Expression of Interest Form

Primary Applicant

This form must detail all permanent residents of the household

First Name(Required)

Middle Name

Family Name(Required)

Date of birth(Required)

Country of birth(Required)

Religion(Required)

Gender(Required)

Relationship Status(Required)

Mobile Phone(Required)

Email(Required)

Enter Email Confirm Email

Do you have an open driver’s licence?(Required)

Do you smoke?(Required)

Do you have a current Blue Card?(Required)

Please provide your Blue Card number(Required)

Your Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Occupation(Required)

Company Name

Work Phone Number

Employment Status(Required)

Work Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Would you be willing to host students in emergency situations after hours?(Required)

Secondary Applicant(Required)

Secondary Applicant

First Name(Required)

Secondary Applicant First Name

Middle Name(Required)

Secondary Applicant Middle Name

Last Name(Required)

Secondary Applicant Last Name

Date of birth(Required)

Secondary Applicant Date of birth

Country of Birth(Required)

Secondary Applicant Country of Birth

Religion(Required)

Secondary Applicant Religion

Gender(Required)

Relationship(Required)

Mobile Phone(Required)

Email(Required)

Enter Email Confirm Email

Do you have an open driver’s licence?(Required)

Do you smoke?(Required)

Do you have a current Blue Card?(Required)

Please provide your Blue Card number(Required)

Relationship to Primary Applicant(Required)

Other Residents 18 Years of Age or Over - Person 1

Any Other Residents 18 Years of Age or Over(Required)

First Name(Required)

Middle Name(Required)

Family Name(Required)

Date of birth(Required)

Country of birth(Required)

Religion(Required)

Gender(Required)

Relationship(Required)

Mobile Phone(Required)

Email(Required)

Enter Email Confirm Email

Do you have an open driver’s licence?(Required)

Do you smoke?(Required)

Do you have a current Blue Card(Required)

Please provide your Blue Card number(Required)

Relationship to Primary Applicant or Secondary Applicant(Required)

Will this resident provide care for students at any time?(Required)

Other Residents 18 Years of Age or Over - Person 2

Any Other Residents 18 Years of Age or Over Number 2(Required)

First Name(Required)

Middle Name(Required)

Family Name(Required)

Date of birth(Required)

Country of birth(Required)

Religion(Required)

Gender(Required)

Relationship Status(Required)

Mobile Phone(Required)

Email(Required)

Enter Email Confirm Email

Do you have an open driver’s licence?(Required)

Do you smoke?(Required)

Do you have a current Blue Card(Required)

Please provide your Blue Card number(Required)

Relationship to Primary Applicant or Secondary Applicant(Required)

Will this resident provide care for students at any time?(Required)

Other Residents Under 18 Years of Age Person 1

Any Other Residents Under 18 Years of Age in Household - Person 1(Required)

First Name(Required)

Middle Name(Required)

Family Name(Required)

Date of birth(Required)

Gender(Required)

Relationship to Primary Applicant or Secondary Applicant(Required)

Other Residents Under 18 Years of Age Person 2

Any Other Residents Under 18 Years of Age in Household - Person 2(Required)

First Name(Required)

Middle Name(Required)

Family Name(Required)

Date of birth(Required)

Gender(Required)

Relationship to Primary Applicant or Secondary Applicant(Required)

Other Residents Under 18 Years of Age Person 3

Any Other Residents Under 18 Years of Age in Household - Number 3(Required)

First Name(Required)

Middle Name(Required)

Family Name(Required)

Date of birth(Required)

Gender(Required)

Relationship to Primary Applicant or Secondary Applicant(Required)

Further Information

Have any of the stated Applicants previously hosted students from John Paul College?(Required)

Have any of the stated Applicants previously hosted students from another institution?(Required)

Please provide the name of the institution

When?(Required)

Are you able to host one or two students?(Required)

Are you able to host males, females or both?(Required)

Do you rent or own your home?(Required)

Do you have any pets?(Required)

Please detail(Required)

How will your student get to and from school?(Required)

Please detail

Do you have comprehensive car insurance?(Required)

Are all vehicles fully registered?(Required)

Do you have home and/or contents insurance?(Required)

Do you have a pool?(Required)

Please provide a copy of your QLD Pool Certificate

Accepted file types: jpc, pdf, png, doc, docx, , Max. file size: 512 MB.

Is English the main language spoken in your household?(Required)

Please detail languages spoken by residents

Do you have, or have you had children at John Paul College?(Required)

Are you able to accommodate special dietary requirements?(Required)

References: Please provide the details of two referees

Please provide separate referees for both the Primary and Secondary Applicants. The referees:

must not be a relative; and
must have known you for at least twelve months.

Referees will be telephoned regarding your expression of interest. If you have hosted students from other institutions, the College will also contact these institutions for additional checks.

Referees may be requested for other residents 18 years or over who will care for students.

Primary Applicant Referee

First Name(Required)

Middle Name

Family Name(Required)

Mobile Phone(Required)

Secondary Applicant Referee

First Name(Required)

Middle Name

Family Name(Required)

Mobile Phone(Required)

Referred by an existing homestay

Were you referred by an existing Homestay?(Required)

Please provide the full name of the referring person

How did you hear about our program?

Primary Applicant’s Signature

I have read and understood the documents provided to me in the Expression of Interest Pack and have provided information that is true and accurate. I am capable and willing to uphold the John Paul College Homestay Programme Standards.

Signature

Date(Required)

CAPTCHA

Comments

This field is for validation purposes and should be left unchanged.

Homestay Expression of Interest Form

Primary Applicant

This form must detail all permanent residents of the household

First Name(Required)

Middle Name

Family Name(Required)

Date of birth(Required)

Country of birth(Required)

Religion(Required)

Gender(Required)

Relationship Status(Required)

Mobile Phone(Required)

Email(Required)

Enter Email Confirm Email

Do you have an open driver’s licence?(Required)

Do you smoke?(Required)

Do you have a current Blue Card?(Required)

Please provide your Blue Card number(Required)

Your Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Occupation(Required)

Company Name

Work Phone Number

Employment Status(Required)

Work Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Would you be willing to host students in emergency situations after hours?(Required)

Secondary Applicant(Required)

Secondary Applicant

First Name(Required)

Secondary Applicant First Name

Middle Name(Required)

Secondary Applicant Middle Name

Last Name(Required)

Secondary Applicant Last Name

Date of birth(Required)

Secondary Applicant Date of birth

Country of Birth(Required)

Secondary Applicant Country of Birth

Religion(Required)

Secondary Applicant Religion

Gender(Required)

Relationship(Required)

Mobile Phone(Required)

Email(Required)

Enter Email Confirm Email

Do you have an open driver’s licence?(Required)

Do you smoke?(Required)

Do you have a current Blue Card?(Required)

Please provide your Blue Card number(Required)

Relationship to Primary Applicant(Required)

Other Residents 18 Years of Age or Over - Person 1

Any Other Residents 18 Years of Age or Over(Required)

First Name(Required)

Middle Name(Required)

Family Name(Required)

Date of birth(Required)

Country of birth(Required)

Religion(Required)

Gender(Required)

Relationship(Required)

Mobile Phone(Required)

Email(Required)

Enter Email Confirm Email

Do you have an open driver’s licence?(Required)

Do you smoke?(Required)

Do you have a current Blue Card(Required)

Please provide your Blue Card number(Required)

Relationship to Primary Applicant or Secondary Applicant(Required)

Will this resident provide care for students at any time?(Required)

Other Residents 18 Years of Age or Over - Person 2

Any Other Residents 18 Years of Age or Over Number 2(Required)

First Name(Required)

Middle Name(Required)

Family Name(Required)

Date of birth(Required)

Country of birth(Required)

Religion(Required)

Gender(Required)

Relationship Status(Required)

Mobile Phone(Required)

Email(Required)

Enter Email Confirm Email

Do you have an open driver’s licence?(Required)

Do you smoke?(Required)

Do you have a current Blue Card(Required)

Please provide your Blue Card number(Required)

Relationship to Primary Applicant or Secondary Applicant(Required)

Will this resident provide care for students at any time?(Required)

Other Residents Under 18 Years of Age Person 1

Any Other Residents Under 18 Years of Age in Household - Person 1(Required)

First Name(Required)

Middle Name(Required)

Family Name(Required)

Date of birth(Required)

Gender(Required)

Relationship to Primary Applicant or Secondary Applicant(Required)

Other Residents Under 18 Years of Age Person 2

Any Other Residents Under 18 Years of Age in Household - Person 2(Required)

First Name(Required)

Middle Name(Required)

Family Name(Required)

Date of birth(Required)

Gender(Required)

Relationship to Primary Applicant or Secondary Applicant(Required)

Other Residents Under 18 Years of Age Person 3

Any Other Residents Under 18 Years of Age in Household - Number 3(Required)

First Name(Required)

Middle Name(Required)

Family Name(Required)

Date of birth(Required)

Gender(Required)

Relationship to Primary Applicant or Secondary Applicant(Required)

Further Information

Have any of the stated Applicants previously hosted students from John Paul College?(Required)

Have any of the stated Applicants previously hosted students from another institution?(Required)

Please provide the name of the institution

When?(Required)

Are you able to host one or two students?(Required)

Are you able to host males, females or both?(Required)

Do you rent or own your home?(Required)

Do you have any pets?(Required)

Please detail(Required)

How will your student get to and from school?(Required)

Please detail

Do you have comprehensive car insurance?(Required)

Are all vehicles fully registered?(Required)

Do you have home and/or contents insurance?(Required)

Do you have a pool?(Required)

Please provide a copy of your QLD Pool Certificate

Accepted file types: jpc, pdf, png, doc, docx, , Max. file size: 512 MB.

Is English the main language spoken in your household?(Required)

Please detail languages spoken by residents

Do you have, or have you had children at John Paul College?(Required)

Are you able to accommodate special dietary requirements?(Required)

References: Please provide the details of two referees

Please provide separate referees for both the Primary and Secondary Applicants. The referees:

must not be a relative; and
must have known you for at least twelve months.

Referees will be telephoned regarding your expression of interest. If you have hosted students from other institutions, the College will also contact these institutions for additional checks.

Referees may be requested for other residents 18 years or over who will care for students.

Primary Applicant Referee

First Name(Required)

Middle Name

Family Name(Required)

Mobile Phone(Required)

Secondary Applicant Referee

First Name(Required)

Middle Name

Family Name(Required)

Mobile Phone(Required)

Referred by an existing homestay

Were you referred by an existing Homestay?(Required)

Please provide the full name of the referring person

How did you hear about our program?

Primary Applicant’s Signature

Signature

Date(Required)

CAPTCHA

This field is for validation purposes and should be left unchanged.