How To Be a Host Family | Quest Guardians Application Form

Primary Applicant

Title

First Name*

Surname*

Date of Birth*

Gender*

Male
Female

Nationality*

Religion

Email*

Mobile*

Current / most recent occupation*

Have you completed a DBS Enhanced Disclosure within the last three years?*

Yes
No

Secondary Applicant (i.e. partner, if applicable)

Title

First Name

Surname

Date of Birth

Gender

Male
Female

Nationality

Religion

Email

Mobile

Current / most recent occupation

Have you completed a DBS Enhanced Disclosure within the last three years?

Yes
No

Household & Family

Address*

Home Telephone

Please briefly describe your house*

Please briefly describe the accommodation for students*

Do you have children?*

Yes
No

Please give details of all children living in the household

Are there other temporary / permanent residents, students or extended family members?*

Yes
No

Please give details

Do you have pets?*

Yes
No

Please give details

Do you have internet?*

Yes
No

Please give details

Does anyone in the household smoke?*

Yes
No

Hosting Experience and Preferences

Do you have any previous experience hosting international students?*

Yes
No

Please give details of any previous hosting experience you have

Do you have any previous safeguarding training?*

Yes
No

Please give details of any safeguarding training you have received

I am happy to host students that are:

Boys
Girls
10-13 year olds
14-18 year olds

Declaration

I confirm that the details provided in this application form are accurate and complete, and that any changes to the above circumstances will be reported immediately to Quest Guardians.

I confirm that no persons living in the household have ever been convicted of a criminal offence or been placed on a list of those unsuitable to work with children or vulnerable adults.

I confirm that all members of the household, aged sixteen years old and above, will give consent for Quest Guardians to organise Enhanced DBS with Barring Checks on them.

Declaration Agree*

I have read and agree to the above declarations*

Completed By Name*

Completed By Email*

How did you hear about Quest Guardians?

Other

Host Family Application Form

Host Family Application Form

Primary Applicant

Secondary Applicant (i.e. partner, if applicable)

Household & Family

Hosting Experience and Preferences

Declaration