Host Family Application Form

Full name Your full name

Address

Email

Telephone

Alternative telephone

Date of birth

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Other household members - Name / Date of Birth / Relationship to you

Household pets

Does anyone smoke in your household?

YesNo

What are your primary reasons for hosting?

Any other relevant comments or questions (religion, diet ...)

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References: Name & contact details of 2 referees who have known you for at least 2 years and can vouch for your character and integrity (not family members):

Reference 1 - Full Name

Reference 2 - Full Name

Reference 1 - Address

Reference 2 - Address

Reference 1 - Email

Reference 2 - Email

Reference 1 - Telephone

Reference 2 - Telephone

Reference 1 - How long have you known them?

Reference 2 - How long have you known them?

Regent Guardians is committed to safeguarding all of its students. All staff are required to adhere to our safeguarding policies and procedures and undertake a full enhanced DBS check. Candidates will be asked safeguarding questions during the selection process.

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