Homestay application

YOUR DETAILS

Are you in a relationship?*
YesNo

Do you have children?*
YesNo

Do you have other occupants in your home?*
YesNo

Please note: Children or other occupants aged 18 or over living in your household will also be subject to background checks.

Do you have any pets?*
YesNo

Are you smokers?*
Please note: You should smoke outside when hosting students.
YesNo

As a household, do you have a specific diet?*
---No specific dietVegetarianVeganOther

YOUR HOME

Do you own your home?*
YesNo

Type of dwelling*
---Detached houseSemi detached houseTerraced houseBungalowFlat

Beds available (room 1)*
---Single bed room, shared bathroomTwin bed room, shared bathroomTwin bunk room, shared bathroomDouble bed room, shared bathroomSingle bed room, en suite/own bathroomTwin bed room, en suite/own bathroomTwin bunk room, en suite/own bathroomDouble bed room, en suite/own bathroom

Beds available (room 2)
---Single bed room, shared bathroomTwin bed room, shared bathroomTwin bunk room, shared bathroomDouble bed room, shared bathroomSingle bed room, en suite/own bathroomTwin bed room, en suite/own bathroomTwin bunk room, en suite/own bathroomDouble bed room, en suite/own bathroom

Study area available*
YesNo

WiFi*
YesNo

YOUR PREFERENCES

Age you would prefer to host?*
---All juniors12 year olds13-17 year oldsAdultsAll age groups

Gender you would prefer to host?*
---MaleFemaleEither

Would you be prepared to provide for special diets?
Please note: an extra fee is paid for certain diets. VegetarianVeganLactose intolerantGluten freeHalalDiabetic

Please specify dates that you would like to host

AND/OR
Please specify any dates that you are unavailable to host e.g. holidays, visitors

Do you agree for the school to share your name/phone number with other current hosts?
E.g. for car shares, students trying to contact each other, checking if your student can go to another host for dinner.*
YesNo

Do you hold a valid Enhanced DBS Disclosure (Disclosure & Barring Service) certificate and are registered on the update renewal service?*
YesNo

REFERENCES

When hosting students under 18 years, we require two references per household.
When hosting students 18 years and over, we require one reference per household.
Please provide details for referees that you are happy for us to contact. Choose a referee who is NOT a relative, whom you have known for at least 12 months and explain to them that we will contact them to gain a reference as to your character and capacity to fulfil the hosting requirements as outlined.

AGREEMENT OF TERMS

I/We agree to abide by the English UK code of practice for providers of homestay accommodation for international students.
I/We agree to abide by the St Brelade's College hosting duties.
I/We agree to work exclusively with St Brelade's College, unless specially arranged with St Brelade's College.* Yes

I (main carer) agree to abide by Children (Jersey) Law 2002 and confirm that no occupant of my house has, or has ever had a police record that would render me/us unfit to be in contact with students and have never had a child removed from our care.
I (main carer) confirm that any visiting guests to my/our home will be supervised when in my/our home and will not have unsupervised contact with students under the age of 18 years.
Yes

I/We have read and agree to follow the code(s) of conduct outlined in the St Brelade’s College safeguarding policy.
Yes