Name *

First Name

Last Name

Your partner's name

First Name

Last Name

Is smoking permitted in your home? *

Yes

No

Does anyone smoke in your home? *

Yes

No

Do you have family pets? *

Yes

No

What facilities do you have in your home? Please tick all that apply.

Wifi

Piano

Are you happy to share WiFi with your students?

Yes

No

In which months are you available to host students? Please tick all that apply. *

June

July

August

Please specify what type of students you are happy to accommodate (tick all that apply).

I am happy to host a group leader

I am happy to host a vegetarian student

I am happy to host a lactose intolerant student

I am happy to host a coeliac student (gluten free diet)

Please specify your preferred student gender and age range (tick all that apply). *

Male, 13-15 years

Male, 16-18 years

Male group leader (18+)

Female, 13-15 years

Female, 16-18 years

Female group leader (18+)

No preference

Please confirm your application *

By clicking 'submit' below you agree to Language and Leisure’s terms and conditions and consent to LAL processing and holding the above data. LAL is committed to your privacy and will not share this data with third parties. Please see our privacy policy for more information (you can access this in the footer of the site, below).

We hereby apply to accommodate a student attending Language and Leisure. We consent to LAL processing and holding the above data.