Homestay Family Participation Form

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Nagasaki Nanzan College will be visiting us from March 16-21, 2017. Please complete the form below if you are able to host one or two students. If you have any questions or would like to discuss this further, please feel free to contact Andrew Taylor (antaylor@stedmunds.act.edu.au) or Yuko Leffers (yleffers@stedmunds.act.edu.au)

Name

Email Address

Best Contact Phone number

Hosting preference

We would like to host student(s) from Germany

We would like to host student(s) from Japan

We are happy to host students from either country

Clear selection

How many students are you able to host?

One

Two

Clear selection

Do you have any pets? If yes, please tell us what pets you have.

Please let us know your family details (names and ages of all family members)

Do you have previous experience hosting?

Thank you very much!

Submit

Clear form

Never submit passwords through Google Forms.

This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy

Forms