STUDENT/GUEST HOMESTAY APPLICATION FORM

Personal Information

Name {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Please upload a photograph of the photo page on your passport.

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{binding Name, mode=oneTime}
{binding Description}
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Emergency Contact Details

Their Name {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Health Issues

Do you have any medical conditions or allergies we need to be aware of? All information supplied is confidential. {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Visiting Information

If you are studying, working or on an internship, please provide us with the name of your school or place of work. This will help us to find the best location for your accommodation.

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Booking Details

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Flight Details

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Airport Transfer Required? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Homestay Arrival / Departure

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Homestay Accommodation

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What Meal Plan Would You Like? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Would you be HAPPY to be placed with a homestay host that may have the following?

Children Under 11 Years Old {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Cats {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Dogs {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Another student who speaks your first language? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Would you like a private bathroom (subject to availability and £20 per week surcharge)?

Private bathroom? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }

A little about yourself. This will help us to match you with the right host/family.

Do You Smoke? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
Are You a Vegetarian? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
Are You a Vegan? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Do you have any special dietary requirements (e.g. dairy-free, gluten-free, halal, kosher, nut-free etc)? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Do you have any food allergies? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Are you travelling with anyone?

Please add the names of any other people you are travelling with

Name {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Warm Welcome Homestay Limited Registered in England No. 10965664

DATA PROTECTION STATEMENT – Warm Welcome respect your privacy, and the personal information supplied here is protected under the Data Protection Act. We will not disclose this information to any third parties other than to the potential host, school, college, university and any authorised inspectors/regulatory bodies without your prior consent. You are entitled to demand access to any information referring to you.

View the Guest Terms & Conditions here.

Student Agreement

I accept that I have read and agreed to the Warm Welcome terms and conditions and wish to proceed.

Agree to terms {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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STUDENT/GUEST HOMESTAY APPLICATION FORM

The email has been sent.

Your progress has been saved.

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STUDENT/GUEST HOMESTAY APPLICATION FORM

Personal Information

Name {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Date of Birth {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
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Gender {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Email {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Nationality {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Telephone Number {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }

Please upload a photograph of the photo page on your passport.

Passport Photo ID {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{{ Cognito.resources['fileupload-dropzone-message'] }}
{binding Name, mode=oneTime}
{binding Description}
{ binding firstError.message }
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Emergency Contact Details

Their Name {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Their Relationship to You {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Their Email {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Their Telephone Number {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
{ binding firstError.message }

Health Issues

Do you have any medical conditions or allergies we need to be aware of? All information supplied is confidential. {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Please provide details of any medical conditions or allergies such as asthma, hayfever, pet-allergy etc {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
{ binding firstError.message }

Visiting Information

If you are studying, working or on an internship, please provide us with the name of your school or place of work. This will help us to find the best location for your accommodation.

Name of school/college/university/company you will be attending or working at {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
{ binding firstError.message }

Booking Details

Level of English {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }

Flight Details

Arrival Date {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Departure Date {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Flight Number (optional) {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Arrival Airport in the UK {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Airport Transfer Required? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
{ binding firstError.message }

Homestay Arrival / Departure

Arrive at Homestay Date {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Depart Homestay Date {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
{ binding firstError.message }
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Homestay Accommodation

How Many Single Rooms Do You Require? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
How Many Twin Rooms Do You Require? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
What Meal Plan Would You Like? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }

Would you be HAPPY to be placed with a homestay host that may have the following?

Children Under 11 Years Old {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Cats {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Dogs {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Another student who speaks your first language? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }

Would you like a private bathroom (subject to availability and £20 per week surcharge)?

Private bathroom? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }

A little about yourself. This will help us to match you with the right host/family.

Do You Smoke? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Are You a Vegetarian? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Are You a Vegan? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Do you have any special dietary requirements (e.g. dairy-free, gluten-free, halal, kosher, nut-free etc)? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Please give details of special dietary requirements. {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
Do you have any food allergies? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Please give details of any food allergies. {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
Please tell us about your family, friends, hobbies and interests (optional but very helpful!) {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }

Are you travelling with anyone?

Please add the names of any other people you are travelling with

Name {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
{ binding firstError.message }
{ binding firstError.message }
How Did You Hear About Warm Welcome? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }

Warm Welcome Homestay Limited Registered in England No. 10965664

DATA PROTECTION STATEMENT – Warm Welcome respect your privacy, and the personal information supplied here is protected under the Data Protection Act. We will not disclose this information to any third parties other than to the potential host, school, college, university and any authorised inspectors/regulatory bodies without your prior consent. You are entitled to demand access to any information referring to you.

View the Guest Terms & Conditions here.

Student Agreement

I accept that I have read and agreed to the Warm Welcome terms and conditions and wish to proceed.

Agree to terms {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
Signature {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
{ binding firstError.message }