Request for Accommodation 2015

WE WILL DO OUR BEST TO ACCOMMODATE THE REQUESTS MADE BUT CANNOT GUARANTEE TO MEET ALL OF YOUR REQUIREMENTS.

Family Name: ______Given Names: ______

Student ID [if available]: ______Gender: Male  Female  Date of Birth: / /

(dd/mm/yy)

Nationality ______Telephone: ______Email: ______

(Include country and area code)

Home Address: ______

Course: ______Course start date: ______Course end date: ______

Agent Name: ______Agent Email: ______

(if applicable)

Do you have any medical conditions which may impact on your stay in accommodation? No  Yes  (if yes, give details)

E.g.: Hepatitis  Asthma  TB  Epilepsy  Diabetes  Other (please explain) 

Details of any medical condition: ______

Do you have any other allergies or special needs?______

ACCOMMODATION OPTIONS

FOR STUDENTS UNDER 18 / Cost per week / Meals / Facilities / Tick to choose option
Homestay: Full Board / $240 / All meals except lunch on school days / Own room, access to common areas
Homeaway Fully Supervised Full Board
Student Residence for Under 18 / $294 / All meals 7 days per week / Own room ensuite and share bathrooms, access to common areas, laundry facilities
FOR STUDENTS OVER 18
Homestay: Full Board / $240 / All meals except lunch on school days / Own room, access to common areas
Homestay: Part Board / $150 / No meals provided / Own room, access to common areas including kitchen
Student Residence: Full Board / $240 / All meals 7 days per week / Own room, share bathroom, laundry facilities 30 minutes to city
Student Residence: Full Board / $280 -$295 / All meals 7 days per week / Own room, ensuite or share bathroom available, laundry facilities,10 minutes to city
Student Residence: Part Board / $135 - $155 / No meals / Own room, share bathrooms, common kitchen, 20 minutes to city
Student Residence: Part Board / $190 - $210 / No meals / Own room, ensuite bathrooms, common kitchen, 10 minutes to city
STUDENT APARTMENTS: / City location / fully furnished / 6 or 12 months lease
Single or Double Studio Room / $200 - $430 / No meals / Own room with own kitchen and bathroom
Single Room in Shared Apartment / $250 - $375 / No meals / Own room with ensuite bathroom, share common areas

THE FOLLOWING QUESTIONS MUST BE COMPLETED BY STUDENTS REQUESTING HOMESTAY ACCOMMODATION.

What length of homestay do you require? From:______to: ______

(The minimum length of homestay is 5 weeks)

Do you smoke?No  Yes 

Do you prefer a family with pets?No  Yes 

The majority of Australian families have pets (usually a dog and/or a cat), if you tick ‘No’ to the above question, we cannot guarantee you a homestay without pets. If you have an allergy or are particularly frightened of animals, please indicate below:

______

Do you prefer a family with children?No  Yes 

If yes, do you prefer: Older children  Younger children  Do not mind 

Are you happy to live in a Homestay with other international students? No  Yes 

(Most Homestays accommodate 2-3 students but priority is given to different nationalities)

Please list any foods you do not eat or any dietary requirements:______

What are your hobbies / interests? Do you play or are you interested in any sport?

______

______

Please tell the homestay host a few things about yourself, your family, the place where you live, what you hope to achieve while you are in Australia?

______

AIRPORT RECEPTION

This service is provided at no additional cost with all accommodation placement requests. On receipt of student flight arrival details, airport reception will be booked and confirmed.

Date of Arrival in Adelaide: / /

Day: ______Time: ______Flight No: ______Airline: ______

(Flight Arrival Details should be forwarded as soon as available - ideally 2 weeks prior to departure)

If relatives or friends are arriving with you please supply their name, relationship to you and where they will stay in Adelaide.

______

______

ACCOMMODATION AGREEMENT

As a participant in the SAIBT / CELUSA Accommodation Program, I understand that:

(tick appropriate boxes)

In Homestay, I will:

pay a $300 bond. I understand this is refundable in full within 1 week of leaving the homestay, as long as there are no damages, unpaid homestay fees or money owing for phones accounts etc.

make my homestay fee payments regularly, two weeks in advance

stay in the homestay for the minimum stay as indicated in the letter of confirmation and give 2 weeks notice to the host family if I decide to leave

behave in a manner respectful of my homestay host’s values, reflecting positively upon my family, my homestay host and SAIBT / CELUSA

be a co-operative and contributing member of my homestay and participate in family life by joining the family for meals, outings and other activities when invited

not ask my homestay host to accommodate any relatives or friends on arrival or during my stay in the homestay

abstain from the excessive use of alcohol or not consume alcohol (if under 18) and not bring alcohol into the homestay without permission

not possess or use prohibited or dangerous weapons or illegal drugs

not borrow money from my host family

In a Student Residence, I will:

remain at the residence for the agreed period and pay my rent and bond as required

give appropriate notice in advance if I decide to leave

follow the rules and regulations of the residence

behave in a respectful manner which reflects positively upon my family and SAIBT / CELUSA

abstain from the excessive use of alcohol or not consume alcohol (if under 18)

not possess or use prohibited or dangerous weapons or illegal drugs

Change of Address:

I understand that I must inform SAIBT / CELUSA of any changes to my address or contact details while living in Australia.

This is a Department of Immigration and Border Protection (DIBP) requirement for Student Visa holders.

Students Under 18:

I understand that changes to my accommodation MUST be negotiated with the Accommodation Office.

I declare all information provided with this form is correct. I have read and understood the Accommodation Agreement.

Student Signature:______Student Name: ______Date:______

(Please Print)

Fees:Accommodation Placement Fee (includes airport reception)$320.00

Guardianship Processing Fee$500.00

(These fees can be paid with Tuition Fees)

Please return this form to:

SAIBT / CELUSA Accommodation Office

Brookman Building, City East Campus UniSA, North Terrace, Adelaide, South Australia, 5000

Email:

Phone: (+61 8) 8302 1027

CRICOS Provider Number 02193C Updated 14/5/2015