Address

Main Road

Suburb

Lower Plenty

State

Vic

Zip Code

3093

Female Parent Name / Birth Date / Occupation

1980 / Social Worker

Male Parent Name / Birth Date / Occupation

N/A

Male Parent WWCC or Blue Card Number and Expiry date.

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.

N/A

Total number of student rooms available in your home

1

Are your student bedrooms inside your home or outside your home

Inside

What Languages are spoken in the Home?

English, Turkish

Does your home have adequate Smoke Alarms ?

Yes

What are the Family interests

Cinema, live music, reading, hiking, cycling, travelling, cooking, gardening

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

Turkey, Spain, France, Denmark, Norway, Italy, Macedonia, New Zealand, Sri Lanka, Indonesia

Do you have any Pets

1 cat

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.

N/A

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

N/A

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

30-45 minutes

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

Two Meals per day

Do you prefer a Male or Female student?

Female