8/13/2019 App BISS Homestay 2014

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ISSBrisbane International Students Services 126 Adelaide Street, Brisbane, Queensland, Australia, 4000PO Box 785, Sunnybank, Queensland 4109 PO Box 13393 George St, Brisbane, Queensland, Australia 4003Tel: 61 7 3277 2776 Fax: 61 7 3277 0818 Ph: 61 7 3229 3389 Fax: 61 7 3229 5414Email: homestay@biss.com.au www.biss.com.au Email: enrol@ihbrisbane.com.au www.ihbrisbane.com.au

APPLICATION FOR HOMESTAY ACCOMMODATION 2014

Homestay fee Students 18+ only $225 per week (breakfast & dinner weekdays, 3 meals weekends) or $250 pw (3 meals daily)Homestay fee Students 17+ $260pw 16+ $270 pw 15+ $280 pw (breakfast, lunch and dinner provided daily)Please pay 4 wks homestay fees directly to your host family at the commencement of stay. Minimum stay 4 weeks - over 18s only.Homestay placement fee A$190.00 and Airport reception fee A$95.00 must be paid to IH-ALS prior to placementA 25% surcharge applies ($23.75) for airport reception service provided between 10pm-6am and public holidays.

PERSONAL DETAILS

Family Name: Given Names:

Address:

Postcode:

Telephone: Email:

Date of Birth: Male Female Nationality: Religion:

Program of study: Campus:

Student ID: Start Date:

HOMESTAY

Do you smoke? YES NO

Do you like pets? YES NO Dont mind Do you enjoy the company of young children? YES NO Dont mind Do you enjoy the company of other students? YES NO Dont mind Do you have any allergies or medical problems? YES NO

If yes please list?

Do you have special/dietary requirements?

ARRIVAL DETAILS

When will you arrive in Brisbane? Do you wish to start homestay on the same day? Yes / No

Arrival Day: Date: Time: (am/pm) Airline & Flight No:

Do you require Airport Reception? Yes

/ No

Note: Homestay cannot be confirmed until flight details are provided to BISS.

AGENTS DETAILS

Contact Name: Name of Company:

Tel: Fax: Email:

PLEASE READ AND SIGN

I will advise IH-ALS or BISS immediately if I change my arrival details, or no longer require homestay. Emergency contact No: (61) 0433 024 103 I agree to pay the homestay placement fee of $190 and Airport Reception fee of $95 to IH-ALS; and four weeks homestay fee in advance to my host

family at the commencement of stay. I will pay every two or four weeks in advance to my host family if I wish to continue homestay.

I will give one (1) weeks notice to my host family if I wish to leave homestay after staying for a minimum period of 4 weeks. Students under 18 arerequired to remain in homestay for the duration of their course. Students are expected to adjust to Australian life style whilst in homestay.

I understand that my host family is not obliged to host my stay after 4 weeks and I must seek alternate accommodation. I understand that should I request to change of homestay without valid reasons I may be subject to further administrative charges. A 25% surcharge applies for airport reception service provided between 10pm-6am. Additional fee applies for family or friends who wish to accompany

students to their homestay.

Signed: Date:

If you plan to travel with other members of your family you must advise us. *Fees are subject to change

Please return completed application form to IH-ALSvia fax 617 3229 5414 or email enrol@ihbrisbane.com.au