Host Family Application Form


MEMBERS OF YOUR FAMILY LIVING AT THE SAME ADDRESS

OCCUPATION

Have you hosted before?

GENERAL QUESTIONS

YOUR ACCOMMODATION

Is your home:

Are the rooms you will be using for students

Do the students bedroom contain:
WardrobeChest of drawersBedside LightStudy table/deskCarpet (or suitable flooring)Wash basinDressing tableMirrorChairWindow

Before confirming your application has been successful, Britannia English Academy Ltd will carry out a visit to your home. A fire risk assessment and a health and safety check will be made during the visit. At the time of application please advise if you are undertaking any renovation to your home. You will require a landlords gas certificate for properties with a gas supply, dated within the last 12 months. Please attach your document here:

DATA PROTECTION ACT 1998
THE DATA YOU PROVIDE IN COMPLETING THIS APPLICATION FORM WILL BE PROCESSED IN ACCORDANCE WITH THE PROVISIONS OF THE DATA PROTECTION ACT 1998. PERSONAL INFORMATION WILL BE STORED SECURELY AND WILL ONLY BE USED FOR THE PURPOSE OF ADMINISTERING HOST FAMILY ACCOMMODATION FOR STUDENTS ATTENDING BRITANNIA ENGLISH ACADEMY.
IT MAY ALSO VE DISCLOSED TO BANKS IN CONNECTION WITH THE PROVISION OF FINANCIAL SERVICES TO STUDENTS.

I DECLARED THE ABOVE DETAILS ARE CORRECT