Homestay Family Application
Please fill in this secure form and press the submit button at the end. All personal information is held by Purley Language College in accordance with the Data Protection Act and requirements of the British Council and ISI.

We aim to contact you within 7 days of receiving your application and if you are suitable, we will arrange a visit. Our Accommodation Officers visit all properties before placing students. Please note that all adults (>18) are required to have a valid DBS certificate, and your property to have a gas safety certificate. We can work with you to help you obtain these.

Under GDPR you have the right to know what data we hold about you, how it is kept and with whom we may share it. Our data protection policy is described in our College Policies which are published on our website here: https://www.purleycollege.co.uk/downloads/policies.pdf

Email address *
Applicant Details
Please tell us about yourself in this section. If you are applying on behalf of yourself and a partner, please include their details in the next section.
Name of applicant *
Your answer
Address *
Your answer
Home Phone (if you only use a mobile please write n/a) *
Your answer
Mobile Phone *
Your answer
Alternative number for emergencies
Your answer
Email address *
Your answer
Date of birth (MMDDYY!) *
MM
/
DD
/
YYYY
Household details
Please tell us about the other people in your home.
How many other adults (over 18) live in your house?
Please give the name, age, gender and relation of the adults in your house i.e. Tobias Funke, 42, male, husband
Your answer
How many children (under 18s) live in your house? *
Please give the name, age, gender and relation of the children in your house i.e Maeby, 13, female, daughter
Your answer
Is English the first language spoken at home? *
What other languages are spoken, if any?
Your answer
Does anyone in the house smoke? *
Please give details of how many pets you have, if any *
0
1
2
3
4
>4
Dogs
Cats
Rodents
Reptiles
Birds
Have you hosted international students before? *
If you currently host students for another provider, please give details of the company or individual
Your answer
Please indicate if any household members hold any criminal convictions they will need to declare (minor traffic offences do not count) *
If yes, please give details below
Your answer
Student preferences
Please tell us what sort of student you prefer to host and what you can provide them with
I prefer to host students whose gender is *
Required
I prefer to host students who are *
Required
Are you able to provide daily morning transfers to students? (Arriving between 8.00 and 9.00am) *
Are you able to collect students from the college after classes, after excursions, or on arrival? Please tick all times that apply *
Required
Are you able to provide a breakfast and dinner for students each day, including weekends? *
Are you able to provide packed lunches to the students? *
Are you as a family able to eat meals with the students? *
Do you think you would be able to provide students a homely atmosphere, spend time with them, and give them an opportunity to practise their English? *
Are you willing to give older, responsible students their own key for the duration of their stay? *
Please tick all that apply for your available bedrooms
Bedroom 1
Bedroom 2
Bedroom 3
Bedroom 4
1 Single bed
2 Single beds
Bunkbeds
1 Double bed
En suite
Shared with household member
Wardrobe with hanging space
Desk
Bedside table with light
Radiator
Sprung mattress (i.e not a sofa bed)
Natural light
Mirror
Chair
Please tick places you would allow students to smoke *
Required
Your house
Please tell us about your house and what we can expect from you as a host family
What type of property do you live in? *
Do you have a garden? *
Do you have central heating? *
Please tick all that apply to the bathrooms in your property
Bathroom for students only
Shared family bathroom
En suite
Shower
Bath
Toilet
Sink
Wet room
Bidet
Please add any other details about your house that you feel are relevant
Your answer
Please indicate which of the following diets you would be able to cater for *
Required
Would the students have access to wi-fi for their devices? Please tick all that apply *
Required
Are you able to provide a weekly change of linens and towels for students? *
Are you able to provide us with Gas Safety certificates for your appliances, valid in the last 6 months? *
Do all the over 18s in the house have a valid DBS check? *
How did you hear about the opportunity to become a host family for Purley Language College? *
By ticking this box you confirm that you have read the homestay handbook *
Required
By ticking this box you confirm that you have read the terms and conditions *
Required
A copy of your responses will be emailed to the address you provided.
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