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AJSP

Australia Japan Study Programme Pty Ltd – ABN: 54 127 812 775

About us
Becoming a Host Family
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Becoming a Host Family

Would you like to have wonderful cultural experiences with students from Japan?
Do you live in Brisbane, Bayside, Logan, Gold Coast or Toowoomba?
Then join our team as a host family!

Simply fill in the form below and click the “Submit” button! Our friendly tour coordinator will contact you shortly.

(Alternatively, you can also contact us with the Contact Form.)

Host Mother's Name *

First

Last

DOB *

Occupation *

Do you have a valid Blue Card? *

Host Father's Name

First

Last

DOB

Occupation

Do you have a valid Blue Card?

Other Family Member's Name 1

First

Last

DOB

Gender

Female
Male

Occupation or Attending School Name

Do you have a valid Blue Card?

Other Family Member's Name 2

First

Last

DOB

Gender

Female
Male

Occupation or Attending School Name

Do you have a valid Blue Card?

Other Family Member's Name 3

First

Last

DOB

Gender

Female
Male

Do you have a valid Blue Card?

Occupation or Attending School Name

Other Family Member's Name 4

First

Last

DOB

Gender

Female
Male

Do you have a valid Blue Card?

Occupation or Attending School Name

Other Family Member's Name 5

First

Last

DOB

Gender

Female
Male

Occupation or Attending School Name

Do you have a valid Blue Card?

Other Family Members' details (if any)

International students' details (if any)

Your Address *

Suburb *

Postcode *

Phone *

Email *

Does your family have a pet? *

If yes, what kind of pets do you have?

Does your family smoke? *

Family Interest/Hobbies *

Student Preference *

How many students can you accommodate? *

How many rooms are there available for students? *

Is your student sharing a room with your child/children? *

Language spoken at home *

Can you drive to/from school? *

Do(es) your child/ren attend Outside School Hours Care? *

If Yes, how often?

Preferred area/schools to host *

Do you have any special diet? Eg. Vegetarian, Coeliac *

Please specify if any

How do you normally spend the weekend? *

Reasons for becoming a Host Family *

Name of organisations if you host International students from others

Comment or Message

Phone

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