HHA - Happy Homestay Adelaide

Internet Friend/Relative Advertisement Local School Current HHA homestay student referral

Family Name

First Name

Alias

Date of Birth

Nationality

Gender

Please upload your copy of passport

Country

Mobile

Email

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Language you speak

Religion

Homestay start date(estimated)

Homestay end date(estimated)

Do you smoke?

Do you have any medical condition/s?

Do you have any allergy?

Do you have any special dietary requirements?

Are you comfortable with pets?

Self-introduction

Family Name

First Name

Nationality

Occupation

Country

Mobile

Email

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Family Name

First Name

Nationality

Occupation

Country

Mobile

Email

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Relationship to student:

Family Name

First Name

Nationality

Occupation

Country

Mobile

Email

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Name of Institution Attending

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Course Start Date

Course End Date

Contact Name

Position Title

Country

Phone

Email

Please upload 'Letter of Offer' or 'eCoE': (up to 4 files)

Have you applied for a visa?

Name of Education Agency

Contact Name

Phone

Email

* I confirm that the information given in this form is true, complete, and accurate.

* I hereby give Happy Homestay Adelaide permission to collect, use and disclose relevant information about the student for the purpose of the student’s homestay arrangement.

* I agree to the Happy Homestay Adelaide Fees and Conditions.

Student Application Form

Student’s Information

Parent’s Information

Emergency Contact

Institution Information

Education Agent Information

Additional Information

Declaration:

Main office

Contact with us

Social media

Email: hha@happyhomstay.com.au