Host Family Application Please enable JavaScript in your browser to complete this form.Name *FirstLastDate of Birth(dd/mm/yyyy)OccupationFull Address (Including Town and Postcode)Email *Phone NumberPartners NameFirstLastDate of Birth(dd/mm/yyyy)OccupationMobile tel.Details of ALL other persons living in the household on a full time basisName, Gender, Relationship (son/daughter/sibling), DoB and OccupationDo you have any Pets? *YESNOIf Yes, please give details.Does anyone in the household smoke? *YESNOIf yes, is this person prepared to smoke outside when hosting students.YESNOWhat are your family hobbies/interests?Do you speak another language? *YESNOIf yes, please give details.Does anyone in the household have health problems? *YESNOIf yes, please give details.Do you prefer to host? *FemaleMaleEitherHow many students would you prefer to host? *TwoThreeFourWould you accept the following allergies/dietary requirements? *Vegetarian or VeganAsthmaticNut AllergyLactose Intolerant or Dairy AllergyGluten FreeDiabeticAny other allergy or dietary requirementPlease tick all you are happy to accept.Student Bedroom 1Please give details as to the number and type of bed, the furniture in the room and the type of flooring.Student Bedroom 2Please give details as to the number and type of bed, the furniture in the room and the type of flooring.Student Bedroom 3Please give details as to the number and type of bed, the furniture in the room and the type of flooring.Bath with Shower? *YESNOBath only? *YESNOWalk-in shower? *YESNODining Room? *YESNOKitchen? *YESNOLounge? *YESNODo you have a car? *YESNOWhat space is available for the student to study?What is the internet connection? *WifiBroadbandHappy to give code to studentGDPR *I consent to having this website store my submitted information so they can respond to my inquiry.I agree to receive other communications from Language Travel ToursLanguage Travel Tours is committed to protecting and respecting your privacy, and we’ll only use your personal information to administer your account and to provide the products and services you requested from us. From time to time, we would like to contact you about our products and services, as well as other content that may be of interest to you. If you consent to us contacting you for this purpose, please tick to say how you would like us to contact you. You can unsubscribe from these communications at any time. For more information on how to unsubscribe, our privacy practices, and how we are committed to protecting and respecting your privacy, please review our Privacy Policy.Submit
