Name

Tracy

Address

Cliveden Ave

Suburb

Corinda

State

Queensland

Zip Code

4075

Please confirm that you would accept a newly arrived student for Quarantine (Isolation) who can provide evidence of:

Yes

Female Parent Name / Birth Date / Occupation

Tracy 1/01/1963 Disability Support Worker

Female Parent Vaccination Card. Please send a copy of your Double Vaccination Card to info@homestay-australia.com

Double vaxed

Male Parent Name / Birth Date / Occupation

N/A

Male Parent Vaccination Card. Please send a copy of your Double Vaccination Card to info@homestay-australia.com

N/A

Children living with you now: Name / Gender/ Birth Date / Occupation. All Children residing in the home over 18 years of age require a WWCC Card or a Blue Card.

Nil

Is Internet access available in the home

Yes

Total number of student rooms available in your home

2

Are your student bedrooms inside your home or outside your home

Inside

What Languages are spoken in the Home?

English

Is your home an Apartment or a House

Town house

How is your home Heated?

AC

Does your home have adequate Smoke Alarms?

Yes

Does your home have any extra security?

No

What are the Family interests

Fishing. Markets. Exploring new things. Music. Michael plays drums. Cooking & entertaining.

What countries have you and/or your family travelled to in the past?

Extensively through Europe. Great Britain, Scotland & Wales. Canada/Alaska. Thailand.

How many students have you had in the past?

40

Do you have any Pets

Just fish.

Is your Home a non-smoking home?

Yes

Name of your Insurer for your Home/Contents and Public Liability Insurance. Your Policy needs to include Unrelated Guests or Visitors. If you are not sure contact your Insurer.

Coles Insurance policy number COHO-1580-3318 incl cover for international student

What is the Expiry Date of your Home/Contents and Public Liability Insurance?

25/05/2023

Any International students residing in your home now. If yes, what are their ages and gender

No

What Public Transport do you have available within walking distance of your home

Bus & train.

What is the travel time to the city from your home

15 minutes

Which Meal service do you wish to Provide? (Please tick multiple boxes)

Two Meals a day