Host Family Application Form Either complete the form below, or download the pdf file and email to becky@myukhomestay.co.uk. PDF Application Form my UK homestay - Host Agreement Host Family Brochure 2024/25 Year Name * First Name Last Name Email * Phone * (###) ### #### Age * Nationality * Address * Address 1 Address 2 City State/Province Zip/Postal Code Country Others living at the property – Please include their name, age and relationship to you. * Do you have any pets? * Does anyone who lives at the property smoke? * Yes No Is there anything about your household that you’d like to note that may impact a student staying? – e.g. medical circumstances. Has anyone living at the property had a criminal conviction? * What type of house do you live in? * How many rooms do you have available to students? What is the type of rooms? * Dietary Requirements you would be happy to accommodate? * How many students would you like to host at one time? * Include any preferences - e.g. male, female, age etc Please provide a person who can provide a character reference. * Include their name, email and a contact number. Please tick here to acknowledge that agree to our privacy policy (link below) * Agree Please tick her to confirm you have been provided with and agree to the my UK homestay host agreement terms (link below). * Agree Thank you! Privacy policy my UK homestay - Host Agreement