Accommodation Application Accommodation Application X/TwitterThis field is for validation purposes and should be left unchanged.Student InformationName(Required) First Name Family Name Gender(Required) Female Male Two-spirit Non-binary Other Date of birth(Required) MM slash DD slash YYYY Age(Required)Homestay Start Date(Required) MM slash DD slash YYYY Homestay End Date(Required) MM slash DD slash YYYY Length of Stay (weeks)(Required)Please enter a number from 1 to 999.Email(Required) Phone/WhatsApp(Required)Did you apply as.....(Required) an individual a group Personal Information (Homestay applicants only)Personality: "I am....."(Required) shy outgoing organized talkative quiet active friendly independent hardworking curious Family / lifestyle preferences: "I prefer a home with....."(Required) young children no children a dog a cat no pets teenagers and/or adults outgoing, active people quiet, calm people Other If Other selected in Family / lifestyle preferences:Hobbies: What hobbies and/or interests do you have outside of school?(Required)Food Preferences: (Homestay includes 3 meals per day)Describe your favorite foods:(Required)Describe food you don’t eat:(Required)Additional information:(Required) Vegetarian Vegan Gluten-free No Dairy Halal Others If Others selected on food additional information, please specify:(Required)Health InformationDo you have allergies?(Required) Yes No If yes on allergies, please describe:(Required)Do you have any ongoing health concerns?(Required) Yes No If yes on ongoing health concerns, please describe:(Required)Do you regularly take any medication?(Required) Yes No If yes on medication, please describe:(Required)Do you smoke?(Required) Yes No Flight/Arrival InformationDo you need airport pick-up?(Required) Yes No Arrival Date(Required) MM slash DD slash YYYY Arrival Time(Required) Hours : Minutes AM PM AM/PM Airport(Required)Airline and Flight No.(Required)Do you need airport drop-off?(Required) Yes No Departure Date(Required) MM slash DD slash YYYY Departure Time(Required) Hours : Minutes AM PM AM/PM Airport(Required)Airline and Flight No.(Required)Student DeclarationI declare that... The information I have provided is correct and accurate. I have read and understood all of inlingua Victoria’s policies as outlined in the Student Handbook. Student Digital Signature(Required)Date(Required) MM slash DD slash YYYY Parent/Guardian Signature (Students who are under 18 must have a parent/guardian sign.)Date MM slash DD slash YYYY
