You are on page 1of 2
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 | | | | | | 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: _ | Ago | | 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

You might also like