Host Family Enquiry Form

HOST FAMILY DETAILS

Title* MrMrsMsMiss

First Name of Main Contact*

Last Name of Main Contact*

Name of Partner (if living in the house)*

Email*

Home Phone

Mobile Phone*

How would you prefer we that we contact you?*
Mobile PhoneEmail

Street*

Postcode*

Preferred gender of students* Male students onlyFemale students onlyPrefers male studentsPrefer female studentsNo Preference

Please enter the number of bedrooms you have available to host students*

Please enter the number of bathrooms in the property*

Will you allow the students to share the living area with you?* YesNo (If you select No, we would not be able to consider you as a host family)

Do you have internet in your home?* WirelessCableNone

Kitchen facilities available to students* Free useLight useNo useStudent has own cooking facilities

Bathroom facilities available to students*
En suite bathroom available to studentsPrivate bathroom available to studentsBath (in shared bathroom)Shower (in shared bathroom)

Do you have a valid gas safety certificate?* YesNo

What are your preferences on smoking?*
Family smokes – smoking permitted in houseFamily smokes – smoking permitted in designated rooms onlyFamily smokes – smoking permitted outside onlyFamily non smoking – smoking permitted in houseFamily non smoking – smoking permitted in designated rooms onlyFamily non smoking – smoking permitted outside onlyFamily non smoking – requests non smokers only

What are your dietary preferences?*
NoneKosherHalalVegetarian

Do you have any pets?*
NoneCatsDogsBirdsReptilesSmall furryFishOther

How many children under 16 live at your home?*

Are you happy to host students aged under 18?* YesNo

Do you have a valid DBS certificate?* (this required to host students aged under 18)YesNo

Is English the main language spoken in your home?*YesNo

Have you hosted students before?* (not essential)Yes – recentlyYes – over a year agoNever before

What date will you be ready to start hosting students?*

How did you hear about Host London?*
Internet searchReferred by an existing hostLeaflet dropRadio advertisementAdvert in magazineAdvert in new sagentOnline advertisementFacebook advert

MEAL PLANS YOU ARE WILLING TO OFFER

Self-catering*YesNoPossibly

Bed and Breakfast*YesNoPossibly

Half Board*YesNoPossibly

Full Board* (includes packed lunch)YesNoPossibly

What is the minimum rate (£ per student per night) you would expect to receive for full board meal plan?*
Please enter number only, do not include a £ sign

What is the minimum rate (£ per adult/single room per night) you would expect to receive for full board meal plan?
Please enter a number only, do not include a £ sign

ROOMS AND AVAILABILITY

Please provide information on the rooms that you have available to host students.

ROOM 1

Room type?SingleDoubleTwinTriple

Any other useful information regarding this room?

ROOM 2

Room type?SingleDoubleTwinTriple

Any other useful information regarding this room?

ROOM 3

Room type?SingleDoubleTwinTriple

Any other useful information regarding this room?

ROOM 4

Room type?SingleDoubleTwinTriple

Any other useful information regarding this room?

ASSESSMENT

If you can provide photographs of the house and the rooms available this will increase your chances of hosting for us as we can send these on to the students. Please email photos to admin@hostlondon.net

What happens next? If you satisfy our criteria for hosting students, we will contact you shortly to arrange an appointment for one of our trained assessors to visit your home.

Our assessor usually makes appointments for Fridays, and occasionally Mondays. In the box below, please let us know either an upcoming Friday/Monday date that would be convenient for you, or alternatively, generally speaking the best day/time for us to arrange an appointment with you i.e. Any Monday afternoon after 4pm, or Friday mornings are usually best.

ACCEPTANCE OF TERMS AND CONDITIONS

*I have read and understood Host London’s data protection policy as displayed here.

I agree

*I have read and understood Host London’s data protection privacy notice as displayed here. By ticking this box I am giving my express consent for my data to be collected, processed, stored and shared as outlined in the privacy notice.

I agree