Host Family Application (Form)
I declare that, to the best of my knowledge, the below details are correct and that no person in my household has a previous criminal record which restricts my application to act as a Host Family. I also confirm that I have read and understood the Alpha School of English contract and agree to abide by its terms and conditions.

All students are allocated according to the Alpha School of English regulations.

First Name
Your answer
Surname
Your answer
Address (Winter residence)
Your answer
Address (Summer residence)
Your answer
Distance from school
Your answer
Home telephone
Your answer
Work telephone
Your answer
Mobile telephone
Your answer
Email address
Your answer
Religion
Your answer
Occupation
Your answer
Will you be employed during the period you wish to accommodate students?
If 'yes', please provide details regarding your employment (daily hours, etc):
Your answer
Person 1 - Please list details of all family members and any other residents in your home (Name, Date of birth, Gender, Nationality, ID Card No, Interests, Hobbies, Occupation)
1 person per question
Your answer
Person 2 - Please list details of all family members and any other residents in your home (Name, Date of birth, Gender, Nationality, ID Card No, Interests, Hobbies, Occupation)
1 person per question
Your answer
Person 3 - Please list details of all family members and any other residents in your home (Name, Date of birth, Gender, Nationality, ID Card No, Interests, Hobbies, Occupation)
1 person per question
Your answer
Person 4 - Please list details of all family members and any other residents in your home (Name, Date of birth, Gender, Nationality, ID Card No, Interests, Hobbies, Occupation)
1 person per question
Your answer
Person 5 - Please list details of all family members and any other residents in your home (Name, Date of birth, Gender, Nationality, ID Card No, Interests, Hobbies, Occupation)
1 person per question
Your answer
Please tick where applicable:
Yes
No
Pets in the home
Internet service
Wi-Fi available for students
Computer available for students
Does anyone in your family smoke?
Is smoking allowed in your house?
Air-conditioning in bedrooms
If you have pets, please specify:
Your answer
Number of bathrooms for use by Alpha School of English students
Number of bedrooms for use by Alpha School of English students
Number of single rooms; Number of double rooms
Your answer
Are you prepared to host:
Required
Please indicate the age of the students you would like to host ?
*Infants/children age 0-12 are always accompanied by an adult
Required
Are you prepared to host students who are vegetarians or who have other special diet requests?
Are you prepared to host students from any country ?
If no, please specify
Your answer
Are you prepared to provide students with a key to your home?
Please provide details of the dates when you would like to accommodate students:
Your answer
Are you planning to host foreign students from any other organisation during the same period ?
If so, please provide details
Your answer
Have there been any changes to the bedrooms where the students will be accommodated since the school representative's last visit to your home ?
If yes, please provide details
Your answer
Kindly provide any additional information which you consider relevant in terms of this application
Your comments and suggestions on how we can improve our services would also be appreciated.
Your answer
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