HOMESTAY FAMILY PROFILE

Tyler International

NOTE: You will receive a confirmation email following the successful completion of this on-line form. Please contact Tyler International if you do not receive this email.

Please complete the form below to become a Homestay Family at Tyler International. This profile (minus your private information) will be sent to your international student.

Family Name

Address

Email Address

Home/Mobile Phone 1

Home/Mobile Phone 2

Family Living At Home

Family Member 1 FULL NAME

Date of Birth

Relationship

Occupation/school year level

Family Member 2 FULL NAME

Date of Birth

Relationship

Occupation/school year level

Family Member 3 FULL NAME

Date of Birth

Relationship

Occupation/school year level

Family Member 4 FULL NAME

Date of Birth

Relationship

Occupation/school year level

Family Member 5 FULL NAME

Date of Birth

Relationship

Occupation/school year level

Family Member 6 FULL NAME

Date of Birth

Relationship

Occupation/school year level

Family Member 7 FULL NAME

Date of Birth

Relationship

Occupation/school year level

Family Member 8 FULL NAME

Date of Birth

Relationship

Occupation/school year level

Please list your family’s hobbies and interests

Will the student have their OWN ROOM or SHARED ROOM?

Own Shared

Do any of your family members have allergies or health issues which the student may need to be aware of?

Please write a brief description about your house and neighbourhood

Do you have pets? If so, please provide details.

Will there be another international student in your home at the same time? This is permissible but the Tyler International rule is that if you have another international student living with you, they must be the same gender but a different nationality to our student.

Yes No

If yes, please supply name, gender and nationality of your other international student

Do you have home and/or contents insurance?

Yes No

Does your family have any dietary restrictions? (If yes, please provide details)

List each family member over the age of 18 years with a CURRENT driver’s licence: (List Names) (I acknowledge that each person listed here holds a current Australian driver’s licence and that they are not disqualified from driving.)

BLUE CARDS (or NSW equivalent): All persons residing at your address who are over the age of 18 years must have a current “Working with Children Volunteers” (blue) card - please attach a photo/photocopies or completed application form/s.

If you need a renewal or new application form, please email studytours@tylerinternational.com.au and we will send you the application form for completion.

Bluecard holder’s name

Blue card number and expiry date

Copy attached

Bluecard holder’s name

Blue card number and expiry date

Copy attached

Bluecard holder’s name

Blue card number and expiry date

Copy attached

I don’t have a valid Blue Card and I would like Tyler International to assist with my Blue Card application.

Our family agreement

We will provide a positive and harmonious environment to foster cross-cultural understanding and co-operation.
We will encourage communication to assist the student’s language development.
We will report any medical or other incidents which we feel are a concern for the student’s welfare to Tyler International.
4. We will offer a fully furnished bedroom with access to a suitable study area and make available adequate secure storage for personal effects.
All meals (breakfast/lunch/dinner) and snacks will be provided.
We agree to have an inspection of our home by the Homestay Coordinators of Tyler International.
We agree to have our family photo taken during the study tour program which may or may not be published on the Tyler International web page or used for promotional purposes.

Tyler International collects and holds private information on behalf of homestay families in accordance with the Privacy Act. Please visit our web site for a copy of our Privacy Policy.

As a representative of the ________family (insert family name here)

I have read, understood and agree to the above.

Family Photo

PLEASE INSERT YOUR FAMILY PHOTO HERE (reduced file size)

NOTE: You will receive a confirmation email following the successful completion of this on-line form. Please contact Tyler International if you do not receive this email.

Tyler International Pty Ltd ABN 65 629 487 998
Angela Tyler (Academic Program Manager)
2/3029 The Boulevard Emerald Lakes French Quarter Carrara Qld 4211
PO Box 4621 Ashmore LPO 4214 Gold Coast Qld Australia
P: (07) 5595 3379 M: 0415 227144 E:studytours@tylerinternational.com.au
www.tylerinternational.com.au