Accommodation Form - Homestay 
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Full name  *
Gender *
Date of Birth *
YYYY
/
MM
/
DD
Age *
Telephone number *
Email *
Address (you must provide your current permanent address, including your postal/zip code and Country) *
Nationality *
Level of English *
Languages spoken *
Religion if any *
Do you smoke? *
Do you have any special dietary requirements? *
Is there any food that you do NOT eat? *
Do you have any medical conditions or allergies? *
Where are you living now? *
Homestay Arrival  *
Homestay Departure (e.g. 12th December 2021) *
Which homestay would you prefer? *
Would you like a private bathroom? (extra fees apply) *
Would you like a homestay with children? *
Would you like a homestay with pets? *
Describe at least 5 of your hobbies/interests: *
Describe your personality (in at least 20 words) *
Describe your ideal host family: *
Do you have any special needs/requests? *
What course are you studying? *
How long is your course? *
A term is approximately 12 weeks.  
Will you be over 18 on the first day of your course? *
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