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South Australian Government Schools - Study Tour Homestay Application Form
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School Name * - Please select a school - Aberfoyle Park High School Adelaide High School Adelaide Secondary School of English Allenby Gardens Primary School Angaston Primary School Australian Science and Mathematics School Balaklava High School Banksia Park International High School Banksia Park School Belair Schools Bellevue Heights Primary School Birdwood High School Blackwood High School Blackwood Primary School Bordertown High School Brighton Primary School Brighton Secondary School Brompton Primary School Burnside Primary School Charles Campbell College Charles Campbell College Christies Beach High School Clapham Primary School Clare High School Clovelly Park Primary School Colonel Light Gardens Primary School Coorara Primary School Coromandel Valley Primary School Darlington Schools East Adelaide School East Marden Primary School East Para Primary School Eastern Fleurieu School Edwardstown Primary School Eudunda Area School Findon High School Flagstaff Hill School Gawler and District College Gilles Street Primary School Gladstone High School Glen Osmond Primary School Glenunga International High School Glossop High School Golden Grove High School Goodwood Primary School Grant High School Gulfview Heights Primary School Hallett Cove School Hamilton Secondary College Hawthorndene Primary School Heathfield High School Heathfield Primary School Henley High School Highbury Primary School Highgate School John Pirie Secondary School Kadina Memorial School Kangaroo Island Community Education Kapunda High School Keith Area School Keithcot Farm Primary School Kidman Park Primary School Kilkenny Primary School Le Fevre High School Lefevre Peninsula Primary Schools Linden Park Primary School Lockleys North Primary School Lucindale Area School Magill School Maitland Area School Mallala Primary School Mannum Community College Marryatville High School Marryatville Primary School Mawson Lakes School Mitcham Girls High School Modbury High School Modbury School Preschool to Year 7 Moonta Area School Mount Barker High School Mount Barker Primary School Mount Compass Area School Mount Gambier High School Murray Bridge High School Naracoorte High School Norwood Morialta High School Norwood Primary School Nuriootpa High School Oakbank R-12 School Ocean View College Orroroo Area School Para Hills High School Paradise Primary School Parafield Gardens High School Parkside Primary School Pasadena High School Pennington Junior Primary School Pennington Primary School Playford Primary School Plympton International College Port Lincoln High School Propsect Primary School Redwood Park Primary School Renmark High School Renmark Primary School Reynella East College Reynella Primary School Ridgehaven Primary School Riverton and District High School Roma Mitchell Secondary College Rose Park Primary School Roxby Downs Area School Salisbury Downs Primary Schools Salisbury East High School Salisbury High School Salisbury North R to 7 Primary School Seaford Secondary College Seaton High School Seaview High School Stirling East Primary School Stradbroke School Sturt Street Community School Surrey Downs R to 7 School Swan Reach Area School The Heights School The Pines School Thebarton Senior College Thiele Primary School Thorndon Park Primary School Torrensville Primary School Trinity Gardens Primary School Underdale High School Unley High School Unley Primary School Vale Park Primary School Valley View High School Victor Harbor High School Virginia Primary School Waikerie High School Walkerville Primary School West Beach Primary School West Lakes Shore School R-7 Westbourne Park Primary School Wiliam Light R-12 School Willunga High School Windsor Gardens Secondary College Wirreanda Secondary School Woodend Primary School Woodville Gardens School Birth to Year 7 Woodville High School Woodville Primary School Wynn Vale R-7 School
1. People Living in your Home
Please list all persons residing in your home including family members, other international students and those who stay overnight on a temporary basis.
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2. Contact Details
Address line 1 *
Suburb *
Postcode *
Postal address(if different from above)
Home telephone
Mobile 1 *
Mobile 2
Email 1 *
Email 2
3. Emergency Contact Details
Name *
Relationship to Homestay Applicant *
Address *
Contact phone number/s *
Email *
4. About Your Family
What is your family cultural background? *
What is the main language spoken at home? *
What other languages are spoken at home?
What activities do you regularly enjoy as a family?
Does your family have special dietary preferences? * Yes No
If yes, please specify
Does your family have pets? * Yes No
If yes, please specify (including whether they are inside or outside pets)
Does anyone in the home smoke? * Yes No
If yes, do they smoke inside the home? Yes No
5. Other information
What kind of accommodation can you offer? *(tick all that apply) Single Room Shared Room
How will the student travel to and from school? *
6. Homestay Service Agreement and Declaration