Address

Plato Crescent

Suburb

Wheelers Hill

State

Vic

Zip Code

3150

Female Parent Name / Birth Date / Occupation

Teacher

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.

Male - 2009 - Student;

Male - 2014 - Student

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

Does your home have adequate Smoke Alarms ?

Yes

What are the Family interests

Soccer, Running, Reading

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

Greece, Singapore, Fiji, New Zealand

How many students have you had in the past ?

7

Do you have any Pets

Yes - mini groodle and canary

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.

ING

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

14 July 2024

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

What is the travel time to the city from your home

45 minutes

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

• Three Meals per day
• Three Meals Weekends, Two Meals weekdays
• Two Meals per day

Do you prefer a Male or Female student ?

Male or Female