Expression of interest: Host family Thank you for your interest in our host family program. Question Title * 1. Please complete the following details Parent name 1 Parent name 2 Address Suburb Phone (M) Email Question Title * 2. Number of children Question Title * 3. Number of children at home Question Title * 4. If you have children, what are their names and ages Question Title * 5. Do you have a current police check? Yes No (if you no, please note you will be required to undertake a police check) Question Title * 6. Briefly provide some background information about your family lifestyle Question Title * 7. What are your reasons for registering to become a host family? Question Title * 8. Please advise of any concerns you may have? Next