Step 3. Fill in the form and submit

Personal Details

Family Name (required)

First Name (required)

Gender (required)

Select GenderMaleFemale

Date of Birth (required)

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Address

Phone (required)

Fax

Email (required)

Campus (required)

•  Brisbane
•  North Sydney
•  Strathfield
•  Canberra

Courses (required)

•  English Language
•  Diploma

What kind of assistance do you require?

•  Airport Pickup and Accommodation Booking
•  Accommodation Booking Only

Accommodation Requirements

Homestay accommodation can be arranged on your behalf. A placement fee of $230 is applicable.

The minimum accommodation booking is four (4) weeks.

Homestay

Sydney $270 per week (includes most meals), Brisbane $250 per week (includes most meals)

Type of accommodation (required)

•  Guest House - Single Room
•  Guest House - Twin Share
•  Guest House - Bunk Share

Number of weeks (required)

Check-In Date (required)

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Check-Out Date (required)

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Most households are non-smoking. Do you smoke? (required)

•  Yes
•  No

Please explain any special medical treatment or medication you require

Are you allergic to:

•  Dogs
•  Cats
•  Birds
•  Other (describe below)

Please explain any other allergies you suffer from (eg food, medications etc):

Describe your personal character

•  Sociable
•  Extrovert
•  Positive
•  Shy
•  Introvert
•  Independent
•  Quiet
•  Other (describe below)

Comments

Once you submit this booking form, the $220 placement fee is immediately applicable and will not be refunded under any circumstances.

Please submit this form only once.