INTERNATIONAL STUDY TOUR ENROLMENT FORM (CONT)
ACCOMMODATION
Al ornaonal Sy Tour studats ae placed in Massey Unversity |
approved homestay accommodation unless ater accommodation =|
(subject to availabilty is requested. Please note thet all under 18 |
Year old international students must be placed in Massey University
approved homostay accommodation
Plsase answer the questions below so that we can match you with
‘the most appropriate homestay host. Please note: while every efforts
‘made to fll your homestay requirements, we cannot guarantee that all
of your preferences will be met.
12. Name
Please write your fll name as shewn in your passport
Family name:
Frstnamelst:
Preferredname; _ _
Emit _
13. Gender
Male O Female
14, Date of birth
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j vos | | wel | LL ||
boy |
15, ID photo
[tach one ID photo with your name on the back in English
Ast
passport
sed photo
here
16. Fa
Name:
Relationship to you: _
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Ago |
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Name:
Relationship to you
Name:
Relationship to you
17. Health information
This information i for homestay hosts and Massey University
‘Do you stnoke? (As some hosts wil nat accept smokers, we need to
‘ake your smoking into consideration when erranging your homestay)
Ores No
Do you have any medical problems, disabilities, or allergies?
It Yes, please complete the Medical Risk Assessment, frm.
‘Ace you taking any medication?
Do you have any special dietary requirments? (og vagetaian, Halal,
Kosher, vegan!
Do you have any fod allergies?
Ors OC
Ht you answer Yes'to any ofthe questions above then please gwve