Homestay | Referee 
The information you provide is strictly CONFIDENTIAL.

This form is to help us in the assessment of an applicant's suitability to provide homestay care for an international student attending Pāpāmoa College.

We appreciate your honest response to the questions below. Thank you for taking the time to complete the form. 
Sign in to Google to save your progress. Learn more
Name of Applicant *
Your name as referee *
Your email as referee *
Your mobile number as referee *
What is your relationship to the applicant? (eg friend, work colleague, associate etc) *
How long have you known the applicant? *
Do you consider the applicant to be a suitable person to care for an international student? *
Required
If yes, why?  
Please consider attitudes to other cultures, motivation, knowledge, skills, emotional and psychological stability and strength, role modelling
 *
Is the applicants family home suitable to host an international student?  Please consider other family members and the appropriateness of the physical and emotional conditions in the home.  *
Pressing 'submit' will be considered as your signature as an acknowledgment that the above information is true and correct.  

Thank you for taking the time to complete this referees form to support the successful placement of an international student!
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Pāpāmoa College. Report Abuse
Google Forms