Hosting Application Form - Talkabout Homestay Perth, WA

About you
Please tell us something about yourself, your family and your home to help us match you to your ideal student
Your name*
First name Surname
Your email address*
Email Confirm Email
I identify as:*
- Male
- Female
- Other
Your date of birth
Day
Month
Year
Where are you originally from?*
Your religion (If applicable)
Your address*
What is your address?

Street Address Suburb Postal Code
Your mobile phone number*
Your home phone number
Would you accept students on a houseshare basis (no meals provided)?
Most student request meals to be provided, but some, due to their class scheduling, prefer to prepare their own meals
Marital Status*
- Married
- Single
- Defacto

Your location
Tell us some details about your location.
Access to public transport
- Bus
- Train
How many minutes walk are you from the closest bus or train stop?
Please enter a number from 0.01 to 10000.
Facilities nearby
Let us know what is near you. For example; Do you have any shopping centres nearby? Are they walking distance? Are you close to any universities or colleges?

Current occupants
Tell us about the permanent residents at your place. This includes yourself.
Adult 1*
Please enter your name and occupation here
Adult 2
Name and occupation
Adult 3
Name and occupation
Adult 4
Name and occupation
Does anyone mentioned above smoke*
- Yes
- No
Are there any children living there*
- Yes
- No
Child 1
Please enter a child under 18 years of age. We require their name, sex and date of birth. EG. Jacob Male 21/3/2010
Child 2
Please enter a child under 18 years of age. We require their name, sex and date of birth.
Child 3
Please enter a child under 18 years of age. We require their name, sex and date of birth.
Child 4
Please enter a child under 18 years of age. We require their name, sex and date of birth.
Child 5
Please enter a child under 18 years of age. We require their name, sex and date of birth.
Do you have any pets*
- Yes
- No
Pets*
List any pets you have. Just the species, breed and temperament is fine. eg 1 friendly Persian cat

Tenant specific information
Tell us about what tenants you would like and when your are available to host.
From what date are you available to host?*
Day
Month
Year
What are you willing to tolerate/not tolerate regarding dietary considerations
Are you OK with smokers?*
This does not mean they can smoke at the premises. This is about whether you are ok if they are smokers.
- Yes
- No
Can tenants smoke outside, on your property?*
- Yes
- No
Do you have any reservations towards race, nationality, religion, gender and/or age*
We want to find someone you will enjoy to be around and help with their studies etc. while in Australia
- Yes
- No
Please clearly explain your reservations
Comments and/or additional information
Tell us anything we missed out on or anything that you would like to follow up on

All done!
That's all folks! Please read through our terms and agreements to finish the application.
I agree to the Terms and Conditions*
Please read our terms and agreements
- Yes
- No

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