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Online Host Family Application Form
To apply to become a residential caregiver for an international student at Wakatipu High School, please complete the form below.
Contact Details
*
Indicates required field
First Name (legal)
*
Family Name (legal)
*
First Name (preferred)
*
Family Name (preferred)
*
Residential Address
*
Work Phone Number
*
Home Phone Number
*
Postal Address (if different from residential)
*
Cell Phone Number
*
Preferred Telephone Number
*
Whose number is this?
*
Email
*
Household Memebers
Parent's Name
*
Occupation
*
Choose One
*
Mother
Father
Other Family Members (please list)
*
Relationship to Applicant
Name
*
Age
*
Occupation
*
Pets (please select)
*
Cat(s)
Bird(s)
Fish
Dog(s)
No Pets
Please state what breeds of animal and how many
*
If your pet is not listed, please state here
*
Medical Information
Does any member of the family have an existing medical condition that an international student should be made aware of? (e.g. asthma, epilepsy, etc.)
Please Select
*
Yes
No
If yes, please state which family member and the medical condition
*
International students will usually be taken to the residential caregiver's general practitioner in the event of illness. Please give your family doctor details
*
Family Acitivities
Please list the hobbies, sporting activities and interests of family members, and which family members participate
*
How often does the family participate in these hobbies
*
Household Information
Total number of bedrooms
*
Number of spare bedrooms
*
Number of bathrooms
*
Number of telephone lines
*
Do you have a computer with email facilities available for an international student to use?
*
Yes
No
Facilities available (e.g. swimming pool, piano, books etc.)
*
Preferred gender
*
Female
Male
No preference
Any other requests or comments
*
International student preferences
*
Number of students you'd like to have
*
Preferred nationalities
*
Family Information
Religious affiliation
*
Do you follow any special dietary requirements (e.g. vegetarian, don't eat chicken or pork, etc.)
*
Are there any possible risks to health and safety of the international students in the accommodation
*
Attend church or other place of worship weekly
*
Yes
No
Do any household members smoke
*
Yes
No
Are there any unusual lifestyle patterns or procedures that an international student should know about
*
Will your insurance policy cover any breakages or damage caused by your international student
*
The student would pay the excess if damage is more than the excess amount
*
Please give a brief description of your typical weekly family routine (Mon, Tues, Weds, Thurs, Fri, Sat, Sun)
*
International Student Arrangements
How would an international student get to school from your home
*
Walk
School bus
Public bus
Be driven
Other (please state in the box)
Other method of traveling to school
*
Will they be accompanied to school
*
Yes
No
How long will it take the student to get to and from school
*
What can you offer an international student
*
Describe what your family would do with an international student on a typical Saturday
*
How many other international students live or will live in your household
*
Which family member(s) will help the student with his/her homework
*
Please state what arrangements would be made for the care of an international student after school
*
Note:
Your international student must not be left at home without reasonable provision being made for supervision and care if they are under 14 yrs.
Police Vetting Declaration
Under the “Code of Practice for the Pastoral Care of International Students”, Wakatipu High School is required to request a police vet for all persons aged 18 and over in the accommodation. Please have all family members and other persons living on the property aged 18 and over sign the following declaration.
I hereby give permission for Wakatipu High School to request a police vet.
Name
*
Date
*
I hereby give permission for Wakatipu High School to request a police vet.
Name
*
Date
*
I hereby give permission for Wakatipu High School to request a police vet.
Name
*
Date
*
Submit
Home
About Us
Our School
>
Principal's Message
Strategic Plan
Board of Trustees
Our Staff
>
Our Staff
Vacancies
Reader/Writers
Facilities
>
Library
Uniform Shop
School Cafe
Our Values
Finance
School News
Calendar and Key Dates
Policies and Processes
Complaints
Academic
Curriculum and Timetable
>
Ākonga Profile
NCEA
Timetable
Assessments
Course Options
Mathematics
Science
English
Social Sciences
Arts
Languages
Technology
Health & PE
Student Learning Services
Gifted Education
Extracurricular
Student Leadership
House Competition
Sports
Arts and Culture
Outdoor Recreation
Duke of Edinburgh
Stars Programme
Attending WHS
Prospectus
Enrolment
Attendance
Wellbeing
Support
>
Pastoral Support
Financial Support
Guidance Support
Rules and Expectations
Reporting Bullying
BYOD
Online Safety Hub
Uniform Requirements
Careers
Stationery
Lockers
Buses
Kaupapa Māori
International
International Home
Homestay Hosts
Curriculum and Activities
Living
Prospectus
Enrolments
Community
WHS Foundation
WHS Alumni
Branches Trust
Contact
Contact us
Parking
