This registration form should be read and completed in conjunction with Homestay Handbook and Host Agreement. You can send this electronic form via email to

1.  Contact Details

Title / Full Name
Address
Postcode / Home Telephone
Work Telephone
Mobile
Email address

2.  Current members of your household (please include your own details).

NAME / DATE OF BIRTH / RELATIONSHIP / OCCUPATION

3.  What religion (if any) are you?

4.  What pets (if any) do you have?

5.  What are your hobbies/interests (if any)?

6.  Have you hosted students before? Yes ☐ No ☐ If so for which schools?

7.  What type of building is your home? (E.g. flat, house)

8.  How many bedrooms are you offering? (Please state the number of each type)

Single: ☐ Double: ☐

9.  Do all these bedrooms have a bed, adequate storage (hanging space and a chest-of-drawers), and natural light?

Yes ☐ No ☐ Further Details

10.  Is smoking allowed in the house? Yes ☐ No ☐

11.  Does any member of the household smoke? Yes ☐ No ☐

12.  Would students have access to the internet? Yes ☐ No ☐

If Yes, what sort of access (wireless etc.)?

13.  Do you have any preferences about the type of student you wish to have to stay with you? (e.g. gender, nationality, length of stay)

14.  How would students get to the Park Campus from your accommodation?

15.  Could you cope with any of the following special needs or diets? (Please tick as appropriate)

Vegetarian ☐ Diabetic ☐ Gluten-free ☐

Halal (no pork, no alcohol) ☐

16.  Which languages (other than English) do you speak?

17.  Why would you like to be a host?

18.  It is a legal requirement for people renting rooms within their home to have a valid Landlord Gas Safety Certificate. Do you currently have a valid certificate? * Yes ☐ No ☐

*We will not be able to allocate you a student without a valid gas safety certificate

19.  From what date is your accommodation available?

20.  How did you hear about INTO?

I/We consent to the above information being disclosed to third parties considered by INTO to be integral to the student placement process (students, official agents and British Council Inspectors).

Signed: Date:

Please return by email to or by post to:

Student Experience Team

INTO University of Gloucestershire

Park Campus

The Park

Cheltenham

GL50 2RH

If you have any queries, please call 01242 714092

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