Become a Host Family – MPA COACHING

ABOUT YOU

Title *

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First Name *

Surname *

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Occupation

Email *

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Phone *

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Address *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Do you live in *

flat?
house?
other

Please specify the type of accomodation

Are you and the people living in your home fully vaccinated?

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Nearest Bus Route

Nearest Tube Station

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What is your ethnicity?

What is your religious background

Please specify your ethnicity

Please specify your religious background

Please list your activities/hobbies

Archery
Baking
Blog writing
Boardgames
Camping
Chess
Cycling
Dancing
Fencing
Football
Gardening
Local meetups
Marathon running
Mountain climbing
Networking events
Painting
Photography
Playing a musical instrument
Reading
Sketching
Skiing
Swimming
Tennis
Theater
Volunteering at a charity center
Writing
Yoga
Other (Please specify)

Please list other activities/hobbies

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Do you have any pets? *

Checkboxes *

Cat
Dog
Other

Please specify other pets and/or tell us how many pets you have

ABOUT YOUR CHILDREN

How many children (including those not living at home) ? *

Child_1

Name (First Child)

Living at home?

Gender

Male
Female

Age

Occupation

Child_2

Name (Second Child)

Living at home?

Gender

Male
Female

Age

Occupation

Child_3

Name (Third Child)

Living at home?

Gender

Male
Female

Age

Occupation

Child_4

Name (Fourth Child)

Living at home?

Gender

Male
Female

Age

Occupation

Child_5

Name (Fifth Child)

Living at home?

Gender

Male
Female

Age

Occupation

As you have more than five children provide the rest of the details here. *

ABOUT YOUR HOSTING PREFERENCES

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What type of room(s) is available for the guest? *

Single Bed
Twin Bed
Double Bed
Triple Bed
King Bed

Bedroom Furnishings

Desk
Chair
Table Lamp
Bedside Lamp
Cupboard
Chest of drawers
Wooden Floor
Carpeted Floor
Fridge
Freezer
Shelves

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Brief description of your room *

Provide up to 5 pictures (optional)

Click or drag files to this area to upload. You can upload up to 5 files.

What type of Meal Plan do you offer? *

Self-Catering
Half-board
Full-board

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Special Dietary Habits

Flexitarian
Halal
Kosher
Pescatarian
Vegan
Vegetarian
Other

Please specify other dietary habit

Would you accept meat eaters? *

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Have you hosted international students before? *

Would you prefer male or female students? *

Male
Female
No Preference

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Please state preferred length of hosting in weeks *

2 weeks
2 months
More

Some of our students/guests may have unconventional working hours. Please choose preferred option *

9am to 5pm
Mid-day
Evening (4pm to midnight)
No Preference

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Which category of guest do you accept? *

Junior 12+
Young Adult 16+
Mature 18+

To host under 18 guests, you must be DBS Checked/Garda Vetted. We can assist you with the procedure. *

I am DBS Checked/Garda Vetted
I would need assistance

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Do you feel that you can honestly present all family rules and responsibilities when our student first arrives? *

Are You Prepared To Give Students a House Key? *

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Do you or anyone on your household smoke? *

Do you allow smoking? *

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Do you feel that you and your family can welcome our student as a family member and not as a paying guest? *

Have you or any member of your household been charged or convicted of a crime? *

YOUR REFERENCES

Referee 1

Referee 1 Full Name *

Referee 1 Mobile Number *

Referee 1 Email Address *

Referer 2

Referee 2 Full Name *

Referee 2 Mobile Number *

Referee 2 Email Address *

YOUR BANK DETAILS FOR THE RENT PAYMENT

Account Holder's Name *

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Sort Code

Account Number

IBAN

BIC

DATA PROTECTION

MPA Coaching Homes will only use the information provided on this online form to try and offer you room bookings for students. Once we book a student with you we will email them your Registration Form and your contact details so that they can organise their arrival or for their parents and/or teachers to know where they are staying. If at any time you no longer wish to be registered with us, please email us at homes@mpacoaching.com and we will remove your dtails from our data base.

Yes I am happy for MPA Coaching Homes to use my information to receive room bookings *

I confirm that I have read, understood and will abide by the Homestay Guidelines of MPA Coaching *

I confirm that I have read and accepted the Terms & Conditions of MPA Coaching *

Full Name *