Form E2 International Student Accommodation Application
Verification (Office use only) FORM E2 INTERNATIONAL STUDENT ACCOMMODATION APPLICATION You are required to answer all questions truthfully and to the best of your knowledge. False answers may result in the student’s enrolment being rejected or terminated. If the student’s enrolment is terminated due to false information, the applicant will NOT be entitled to a refund of any fees paid. Name of Student: _____________________________________________ (Family Name) (First Name) Coromandel Area School is a signatory to the New Zealand Ministry of Education Code of Practice for the Pastoral Care of International Students (2010). You may download a Summary of this Code from the International Student pages on our website (www.coroarea.school.nz ) or from the Ministry of Education. All student accommodation will be assessed for compliance with the Code. Three types of accommodation are available to International Students: Staying with parents Staying with a relative or close friend (“Designated Caregiver”) Staying in a Home Stay. How to apply for student accommodation: 1) Please review the information about the types of accommodation provided in the document “INTERNATIONAL STUDENT PROGRAM ACCOMMODATION INFORMATION (FORM E15)” 2) Select the type of accommodation. 3) Fill out the appropriate sections of this form. 4) Upon acceptance into Coromandel Area School’s International Students Program, the school will complete the accommodation assessment process for students staying with Parents and students staying with Designated Caregivers. Students choosing Home Stay Accommodation will be matched with a Home Stay Caregiver and sent information about their accommodation. Will the student (named above) be living with a parent? Yes No If Yes - Form E2 International Student Accommodation Application 1 Parent passport verified and photocopied Details of the Parent the International Student (named above) will reside with while attending Coromandel Area School. Proof of residential details Name of Parent: ______________________________________________ (Please Print Full Name) New Zealand Address: ___________________________________________________ ______________________________________________________________________ Phone:(0_) _________________ Mobile Phone: _____________________ If No – Will the student be living with a relative or close family friend? Yes No Details of the relative or close family friend the International Student (named above) will reside with while attending Coromandel Area School. Check the designated caregivers status period of study Name of Caregiver/s: ______________________________________________ Address: ________________________________________________________ DC12 Indemnity Document ________________________________________________________________ Phone: (0_) _________________ Mobile Phone: _____________________ Relationship to student ____________________________________ PLEASE FILL OUT AND ATTACH THE FORM DC12 “INDEMNITY DOCUMENT FOR STUDENTS LIVING WITH A DESIGNATED CAREGIVER”. Designated Caregivers will be assessed by Coromandel Area School to ensure they meet Code requirements. Home stay families If the student does not plan to stay with a parent, relative or close family friend, Coromandel Area School will arrange Home Stay Accommodation for the student. Home Stay Accommodation is a room, which may be shared with another student, in a home with a New Zealand family. The Home Stay family may have children the student’s own age or may host other International Students, so your child may have companionship. Home Stay Accommodation gives a student a chance to experience family life in New Zealand and to practice their English on a daily basis. Home Stay families have requested to host international students and enjoy learning about other cultures. Lasting friendships often develop from Home Stays. Form E2 International Student Accommodation Application 2 You will pay a Home Stay Accommodation Fee to Coromandel Area School to cover the costs of the accommodation. Coromandel Area School then pays the Home Stay Family the fee on your behalf. Home Stay Accommodation includes: Bedroom with a table or desk, chair, mirror, reading lamp, bed with linen and blankets or duvet, heating system, chest of drawers and/or wardrobe. Meals - 3 meals a day and snacks, including a packed lunch during the school week. Laundry – washing. Students over age 14 are responsible for their own ironing. Student Behaviour: Home Stay families expect the same standard of behaviour as would be expected from their own children of a similar age, but make allowances for cultural differences. Changing Home Stays: Students must give at least two weeks notice or two weeks board in lieu of notice. Students may never change Home Stays without the knowledge of the school. If a student is to be moved, the Home Stay and the parents will be advised of the reason why. To help ensure that there is a good match between the International Student and the Home Stay Family, please tell us a little bit more about the student: Student’s gender (circle one): Male Female Student’s age: ________________________ Sports the student enjoys? ____________________________________________ ___________________________________________________________________ Hobbies and special interests? ___________________________________________ Favourite types of music? _____________________________________________ Play any musical instrument? What? _____________________________________ Food allergies or special diets (e.g., vegetarian)_____________________________ How friendly and outgoing is the student? (Please circle one) Very shy Somewhat shy Moderate Form E2 International Student Accommodation Application Somewhat Friendly Very Friendly and Outgoing 3 Has the student travelled to other countries before? If yes, where? _______________ _____________________________________________________________________ I hereby apply for Home Stay Accommodation for my child. I understand all Home Stay Accommodation is assessed by the school for suitability and is monitored by Coromandel Area School. I have read understood and accept the policies, rules and procedures regarding International Students at Coromandel Area School and agree to abide by them. I agree that all disputes will be dealt with in accordance with New Zealand law. I confirm all the information contained in this application is true and correct to the best of my knowledge and belief. I acknowledge that the provision of false information or the withholding of relevant information may result in termination of enrolment. I will inform the school if there are any changes to the details of this application. Student’s signature: ________________________________ Parent’s Signature – if student is under 18 _____________________________ Parent’s Name: ______________________________________ Date:___________________ Form E2 International Student Accommodation Application 4
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