Host Family Registration (Sample)

 
Family Name Maria Pickering Telephone 6724***
Home Address Lot 15,Niu St,Waqadra,Nadi P.O.Box 93**,Nadi Airport Mobile phone 9304***
Race Other
Religion Catholic
 
(Family Members) (i) Write the name of applicant on the top (ii) Do not write any middle names
[First / Last Name /Relation/Sex/ Date of Birth / Occupation / Hobby or Interest]
Keneith / Pickering / Husband/ M / 14/12/55 / Farm Manager lanting
Maria / Pickering / Mother / F / 12/03/57 / Housewife /Landscaping,Meeting People
Chemain / Pickering /Daughter/ F / 05/07/87 / Student /Meeting People
Ross / Pickering / Son / M / 24/05/91 / Student /Music,Reading
Stefano / Pickering / Son / M / 27/02/95 / Student /Sports,Reading
Ruth / Pickering /Daughter/ F / 24/06/90 / Student /Sports,Reading
<House Details>
Any washing machine available                                
Any cleaning facilities available                               
Any freezer available                                                   
Which type of hot shower system do you have?
Any pets? (dog,cat,others/inside or outside)      
What time do you normally have dinner?              
What time do you normally go to bed?                  
Do you go to church or temple every fixed day?
Prohibited foods,if any with religious reason        
Anyone smokes?                                                        
Do you allow students to smoke?(Outside/Inside)
Do you allow students to drink alcohol at home?
□NO
□NO
□NO
■Solar
□NO
about 6:30 PM
about 10:00 PM
□NO
■NO
■NO
□NO
■NO
■YES
■YES
■YES
□Electric
■YES(Dog)


■YES(Sunday)
□YES( )
□YES
■YES(OUTSIDE   )
□NO
 
<Access to the school>
  ■ Can walk to the school  ■ ( 15 ) min
  ■ Local bus  ■   ■   ■   ■    ( 5 ) min   ■ /  ■( 0.50 )F$
  ■ Mini bus  ■   ■   ■   ■       ( 5 ) min  ■ /  ■ ( 0.50 )F$
  ■ Taxi  ■   ■   ■   ■   ■   ■ ( 2 ) min  ■ /  ■ ( 2.00 )F$
 
<Students room>
  ■Private room ■Desk&Chairs ■Chest or Drawer ■Trash can ■Bed ■Keys(room,main door,gate)
※In a Fijian Culture, it is common to have visitors often.
※This is based on the information host family has given. Therefore, the details of this information might be changed unexpectedly.