Accommodation Application Form Page 2

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Send this application form with your Enrolment Application Form to:
Student Services - Marketing at enquiry@ais.ac.nz.
Please send this form as early as possible (once your flight is confirmed
and at least two weeks prior to your arrival in Auckland) to reserve your accommodation.
NOTES
1. All Accommodation Payments Must Be Made In Advance: Dormitory accommodation - minimum five-
weekly payments in advance. Homestay accommodation - minimum two-weekly payments in advance.
2. Dormitory Bookings: Bookings can only be confirmed if application is made and payment is received,
inclusive of the bond, prior to check-in. Without prior application and/or payment, accommodation
cannot be guaranteed, and the casual rate will apply. All bookings and extensions are subject to room
availability and will be accepted for a maximum period of 52 weeks.
3. Dormitory Bond: Dormitory payments must include the bond of NZ$300.00, which will be refunded
upon departure from the dormitory if all requirements have been complied with.
4. Dormitory Cancellation Fee: A NZ$200.00 fee will be charged for students who cancel dormitory
bookings less than two weeks prior to expected check-in. The balance of any amount pre-paid is
refundable/transferable.
5. Dormitory Check-out: A minimum of five weeks’ written notice must be given prior to departure.
Payment for the cancellation notice period is not refundable or transferable.
6. Homestay Arrangement Fee: This fee of NZ$240.00 (or NZ$260.00 for students under 18) will cover one
homestay arrangement only. If a second homestay arrangement is required, a fee of NZ$110.00 will be
charged. The arrangement fee must be paid in advance.
7. Homestay Cancellation Fee: 50% of the Homestay Arrangement Fee will be charged for students who
cancel homestay bookings prior to expected arrival.
The balance of any amount pre-paid is
refundable/transferable.
8. Homestay Check-Out: A minimum of one week’s written notice must be given prior to departure from a
homestay.
Payment for the first two weeks’ of homestay accommodation is not refundable or
transferable after arrival.
9. Homestay Meals: Homestay accommodation includes two meals per day plus light lunches at weekends
and on public holidays.
DORMITORY/HOMESTAY FEE SUMMARY:
Dormitory
● $300.00 Bond plus Minimum Five Weeks’ Advance Payment (and minimum five weeks in advance thereafter)
● Cancellation Fee of $200.00 applies if accommodation is cancelled less than two weeks prior to check-in
Homestay
● Standard Arrangement Fee $240.00 (first placement)
● Caregiver Arrangement Fee $260.00 (first placement)
● Subsequent Placement Arrangement Fee $110.00
● Plus Minimum Two Weeks Advance Payment (and minimum two weeks in advance thereafter)
● Cancellation Fee of 50% of Arrangement Fee applies to all cancellations prior to arrival
Airport Pickup Fee
● $80.00
Disclosure of Health Problems:
Have you ever been, or are you now, affected by a mental or physical
condition with the capacity to affect your ability to carry out a programme of study or impact on your ability
to access campus facilities? This includes neurological, psychological or medical conditions, including physical
 YES
 NO
deterioration due to injury, disease or degeneration.
If YES, please provide full details of the condition to enable AIS to provide any on-going assistance
that may be required:
..........................................................................................................................................................................................................
APPLICANT’S SIGNATURE: ………………………..……………….………….. DATE: ……….…...…...……………….
Rates shown apply to all accommodation booked for 2016
FOR OFFICE USE ONLY
Dormitory / Homestay Accommodation:  Available
 Not available until ...................................
 Declined
Confirmed to Student or Agent by:
Student Services Officer:……………………………………………………. Date …………………....
CANCELLATION PRIOR TO CHECK-IN:
Date Received:
……………….………
Notifications:  Accounts Department
 Dormitory / Homestay
 SS - Marketing
Dormitory/Homestay - Accommodation Application Form - 2016
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