Student Application

Safe, affordable accommodation

Student Application

Male or Female *

Name *

First

Last

Nationality *

Age *

Religion

Email

Passport Number *

Full Name *

Email

Relationship to you

Level of English

Duration of Homestay

How many single rooms? *

How many twin rooms? *

Accommodation Type *

Do you have any special dietry requirements, (dairy-free, gluten-free, halal, kosher, nut-free etc)? *

Yes
No

If yes, please provide further information

Are you Vegan? *

Yes
No

Are you Vegetarian? *

Yes
No

Do you have food allergies? *

Yes
No

Do you smoke? *

Yes
No

Children under age 11 *

Yes
No

Cats? *

Yes
No

Dogs? *

Yes
No

Another student speaking your first language? *

Yes
No

Flight Number Arrival UK

Arrival Airport/Terminal UK

Do you reqiure transfer? *

If you are travelling with someone else please put their full name below

How did you hear about Stella Homestay Services? *

DATA PROTECTION STATEMENT – Stella Homestay Services 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, college, university and any authorised inspectors/regulatory bodies without your prior consent. You are entitled to demand access to any information referring to you. *

I accept that I have read and agreed to the Stella Homestay Services terms and conditions and wish to proceed.

CONTACTS



+447584876729



info@stellahomestayservices.com

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