Student ApplicationSafe, affordable accommodation Student ApplicationPlease enable JavaScript in your browser to complete this form.Personal DetailsMale or Female *MaleFemaleName *FirstLastNationality *Age *Date of Birth *ReligionTelephone *MobileEmailYour Home Country Address *Address Line 1Address Line 2CityState / Province / RegionPostal CodeAfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBolivia (Plurinational State of)Bonaire, Saint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCongoCongo (Democratic Republic of the)Cook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Kingdom of)EthiopiaFalkland Islands (Malvinas)Faroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHondurasHong KongHungaryIcelandIndiaIndonesiaIran (Islamic Republic of)IraqIreland (Republic of)Isle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea (Democratic People's Republic of)Korea (Republic of)KosovoKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesia (Federated States of)Moldova (Republic of)MonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth Macedonia (Republic of)Northern Mariana IslandsNorwayOmanPakistanPalauPalestine (State of)PanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint Martin (French part)Saint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint Maarten (Dutch part)SlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyrian Arab RepublicTaiwan, Republic of ChinaTajikistanTanzania (United Republic of)ThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUgandaUkraineUnited Arab EmiratesUnited Kingdom of Great Britain and Northern IrelandUnited States Minor Outlying IslandsUnited States of AmericaUruguayUzbekistanVanuatuVatican City StateVenezuela (Bolivarian Republic of)VietnamVirgin Islands (British)Virgin Islands (U.S.)Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland IslandsCountryPassport Number *Emergency ContactFull Name *Phone *EmailRelationship to youHealth ConditionsDo you have any allergies/medical conditions we need to know about? (if yes, please provide details below) All information supplied is confidentialVisiting InformationPlease provide the full UK address including postcode of your place of study or work. This will help us find the best location for your homestay.Booking InformationLevel of EnglishBeginnerIntermediateAdvanceDuration of HomestayArrive Homestay date *Depart Homestay date *How many single rooms? *How many twin rooms? *Accommodation Type *SC - No meals, cook and prepare your own mealsBB - Bed & Continental BreakfastHB - Bed & Continental Breakfast & Evening MealFB - Bed & Continental Breakfast, Packed Lunch & Evening MealDo you have any special dietry requirements, (dairy-free, gluten-free, halal, kosher, nut-free etc)? *YesNoIf yes, please provide further informationAre you Vegan? *YesNoAre you Vegetarian? *YesNoDo you have food allergies? *YesNoDo you smoke? *YesNoWould you be happy to be placed with a homestay host that may have the following?Children under age 11 *YesNoCats? *YesNoDogs? *YesNoAnother student speaking your first language? *YesNoFlight DetailsFlight Number Arrival UKArrival Airport/Terminal UKArrival Date and TimeDateTimeDo you reqiure transfer? *YesNoDeparture Date and Time DateTimeDo you reqiure transfer? *YesNoIf you are travelling with someone else please put their full name belowHow did you hear about Stella Homestay Services? *Search Engine (google, Yahoo etc)Recommended by friendSocial MediaOtherDATA 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.Submit