Homestay Host Family Application Form

This host family application form is designed for families applying to host an international student. It is informed by the homestay, transport, medical, wellbeing, safety and consent content in the attached RSIC 2026 Student Permissions, Indemnities and Waivers form, including the requirement that host family homes be screened and that NSW Police Checks and Working With Children Checks apply to residents aged 18 years and over.

Host Details

Primary host parent/carer full name *

Secondary host (If applicable) parent/carer full name

Home address *

City *

Suburb *

Postcode *

Primary contact number *

Secondary contact number

Primary email address *

What is your connection to Barker College? *

Please share the name of your Barker Connection: *

Household Composition

Please list every person who lives in the home, including family members and any other permanent residents. The RSIC 2026 homestay consent section states that host families are screened and approved in accordance with child safe procedures, including NSW Police Checks and Working With Children Checks for residents aged 18 years and over.

Full name *

Age *

I acknowledge that all individuals over the age of 18 must submit a valid WWCC number within this form. *

Working with Children Check for Residents Over 18

*Reminder that obtaining a WWCC is free for volunteers.

Full Name *

Date of birth *

WWCC number *

WWCC expiry date *

Hosting Capacity

This question helps Host Homes share their preferences and what they can provide as a Host Home - whilst preferences will be considered, no preference is guaranteed.

Number of Students able to host *

Gender Preference *

Country/Language Preference

Will any members of your household be attending the Conference? *

YesNo

Home Environment

These details support safe and suitable student placement, consistent with the source form’s focus on accessibility, pets, allergies, transport, and homestay environment suitability.

Will the student have their own bed? *

YesNo

Will the student have bathroom access? *

YesNo

Are there stairs in the home? *

YesNo

Nearest public transport options *

BusTrainMetro

What distance is your home located from Barker College? *

Approximate travel time to school / conference venue *

Pets

Do you have pets in the home? *

YesNo

Type of Pet

Other

Student Support Capacity

The student homestay section of the source form asks families to consider wellbeing, emotional support, religion, pets, fears, sleep, allergies, accessibility, communication, and environmental suitability when placing a student in homestay.

Which needs could your family support? *

Dietary requirements such as vegetarian, halal, gluten free or dairy freeFood allergy awareness and cross-contamination precautionsStudent living with asthma, hay fever or regular medicationStudent who may feel homesick, anxious or unsettledStudent with religious or cultural practices to respectStudent with limited confidence communicating in EnglishStudent who needs a quiet or low-sensory home environmentStudent with accessibility needs relating to stairs, bathroom or room location

What does your family enjoy doing together? *

Why would your family like to host an international student? *

Is there anything you would like the Homestay matching team to know?

Transport and Supervision

Can your family provide transport to Barker College for a student with luggage on Monday evening and Wednesday morning of the conference? *

YesNo

Name of primary driver (as appears on driver's licence)

I understand that the primary driver must hold a Full Driver's Licence. *

Health and Safety

The source form places strong emphasis on emergency contacts, medical information, allergy awareness, support needs, and safety arrangements for student welfare.

Do you have a current first aid kit at home? *

YesNo

Do you have an Epi-pen in your home? *

YesNo

Declarations and Consent

Please tick to confirm agreement with each statement. These declarations reflect the source form’s emphasis on complete disclosure, student welfare, homestay approval processes, and use of personal information for safety and administration.

The information provided in this application is true and complete.All adults residing in the home have provided WWCC details as required.The applicant understands that host families must be screened and approved in accordance with child safe and homestay procedures.The applicant agrees to notify the school promptly of any change to household residents, safety matters, health matters, or suitability to host.The applicant understands that student placement decisions may take into account medical, dietary, allergy, wellbeing, religious, communication, accessibility and environmental factors.The applicant consents to the school collecting and using this information for homestay assessment, student welfare, emergency management and related administrative purposes.

Signatures

Primary host signature *

Draw signature|Type signatureClear

Date

Save and Complete Later

Please note: Once you click Submit, your application is final and cannot be edited. If you need to update any details after submitting, please contact us directly at RSIC2026@barker.nsw.edu.au.