Accommodation Application Form printable pdf download

Auckland Institute of Studies Ltd, 28a Linwood Avenue,

Mt Albert, Auckland 1025, New Zealand

Postal Address: PO Box 2995, Auckland 1140, New Zealand.

Telephone (64-9) 815 1717 or Free phone (NZ only) 0800 788 392

Fax: (64-9) 815 1802 Email: enquiry@ais.ac.nz

ACCOMMODATION APPLICATION FORM



NAME: __________________________________________________________________

MALE

FEMALE

STUDENT ID NUMBER (if known): ___________________ DATE OF BIRTH: ___________________ AGE: _______

HOME ADDRESS: ___________________________________________________________________________________

____________________________________________________________________________________________________

TELEPHONE: __________________________________ EMAIL: _____________________________________________

ETHNICITY: ___________________________________ FIRST LANGUAGE: __________________________________



ENGLISH LEVEL:

BEGINNER

ELEMENTARY

INTERMEDIATE

ADVANCED

ACCOMMODATION REQUIRED FOR: __________(weeks)

FROM:

TO:

(Book the maximum period required for dormitory accommodation, as extensions are subject to room availability)



PROGRAMME OF STUDY: _____________________________________________

PART-TIME

FULL-TIME



DO YOU REQUIRE AN AIRPORT PICK-UP? (NZ$80.00)

YES

NO ARRIVAL TIME __________________

ARRIVAL DATE: _____________________________ INTERNATIONAL FLIGHT NUMBER: ____________________

If you do not know your flight details, please email us once they are confirmed

(at least two weeks before your arrival in Auckland).

I AM APPLYING FOR: ( the box below to indicate the type of accommodation required)



HOMESTAY ACCOMMODATION

(minimum two weeks’ stay)



Would you like to stay with children?

YES

Do you smoke?

YES



Would you like to stay with pets?

YES

………….…………….……………….……………………………………..

Do you have any other preferences?



Do you have any allergies?

YES

NO (If YES, please give details):

…………………………………………………………………………………….……………..……………………..



Do you have any special dietary requirements?

YES

NO (If YES, please give details):

……………………………………………………………………………………….………………..………………..

Homestay Rate (Students 18 and over) NZ$260 per week

Caregiver Rate (Students under 18) NZ$280 per week



DORMITORY ACCOMMODATION

(minimum five weeks’ stay - subject to room availability)



Type of room:

Single Room

Twin Share

Multi-Share (limited availability)



Would you prefer to live with male and female residents on your floor?

YES



Would you prefer to live with residents of your own gender only on your floor?

YES

ON-CAMPUS DORMITORY ACCOMMODATION RATES (Not Including Meals)

Dormitory Bond (refundable) - payable in advance NZ$300

Casual Weekly

Advance payment of

Room Type

Rate

5 to 11 weeks

12 weeks or more

Multi-Share Room

NZ$170

NZ$135

NZ$125

(3-4 students per room)

Twin Share Room

NZ$190

NZ$155

NZ$145

Single Room

NZ$210

NZ$175

NZ$165

Dormitory/Homestay - Accommodation Application Form - 2016

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Accommodation Application Form

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