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	English in Chester 9-11 Stanley Place Chester CH1 2LU
Tel:	+44 (0)1244 318913
Fax:	+44 (0)1244 320091
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Homestay Accommodation

Host Family Application

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your family

Family Name (e.g. Mr & Mrs J F Smith)
Address
Post Code
E-Mail (only if checked regularly)
Home Telephone Number
Work Telephone Number
Can the School contact you at work?	Yes No
If so, what time is most convenient?
	Hostlady	Hostman
First Name
Date of Birth
Occupation
Religion
Do you smoke?	Yes No	Yes No
Children living at Home	Name	Date of Birth

Do you have any pets? If so, please give details	Yes No Details:

your house

Description of your House	(e.g. Large 4 bedroomed Victorian terraced house with walled back garden)
Number of rooms available	Single		Single with washbasin
	Twin		Twin with washbasin
	Double		Double with washbasin
Are bathrooms heated?	Yes No
Do you have a shower available?	Yes No
Are study facilities available?	In the bedroom		Yes No
Are study facilities available?	In a seperate room in the house		Yes No
Do you have a piano that students could play?	Yes No
How far is your house from the nearest bus stop?
Which bus routes can be used to travel to and from the city centre?
What is the approximate journey time to the city centre by bus?
What is the cost of a single and return journey by bus?

your student

Would you prefer to accommodate male or female students?	Male Female No preference
What age of students do you prefer?	14-16 17-20 21-30 31-40 41-50 Over 50
Will you accept students throughout the year?	Yes No Comment:
Are you happy to accept students from any part of the world?	Yes No Comment:
Do you prefer long or short stay students?	Long Short No preference
Are you happy to accept smokers?	Yes No
Would you be happy for students to practise a musical instrument?	Yes No

your offer

Which of the following are you happy to provide?

Bed, breakfast
Bed, breakfast and evening meal with full board at weekends
Bed, breakfast and facilities for students to cook meals
Self-catering facilities

Are you happy to provide packed lunches for young students in the summer?

Yes No

Are you happy to cater for vegetarian students?

Yes No

Is your breakfast:

English cooked	Yes No
Continental	Yes No

Is your evening meal:

A substantial cooked meal	Yes No
A light meal	Yes No

Do you let students use the family sitting room, TV, etc?

Yes No

Do you sometimes take students on family outings?

Yes No

Are you happy to give students a key?

Yes No

The School states that a reasonable amount of personal washing will be done by homestay providers. Are you happy to accept this?

Yes No

other

Are there any points you would like to raise regarding accommodating students?

Do any members of your family have any interests or hobbies?

Please state how you heard about English in Chester

Newspaper
Friend
Other (please specify):

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