Homestay Program Application Form

Individual Program Application Form

Individual Program Application Form

Apply here for all of our individual homestay programs

Applicant Details

Other preferred name
Photos of you and your family
Passport image
Personality
English Level

Address

Parent / Legal Guardian

Emergency contact (other than a parent)

Programs

Which type of stay do you apply?
You can choose more than one.
Please write how many hours / what you like the lessons to be focused.
Please write what type of volunteer work you would like to do.
Schools

Flight Details

From Auckland Airport to Program Location

Domestic Flight Details

Medical Conditions

Have you had or are you suffering from any of the following medical conditions?
Do you have any of the following Allergies?
Note: please do not enter animal allergy if you just don’t like cats or dogs. Tell us at the end of this form.
Are you taking any medication?
I agree with the conditions *
By clicking this box you have indicated that you have read the Participant Conditions and certify that the information provided by you is true to the best of my knowledge.
For participants under 18yrs of age; Parent or Legal Guardian to check
As a Parent, by clicking this box you have indicated that you have read the Participant Conditions and certify that the information provided by your child is true to the best of your knowledge and that you are happy consent to the application.