Host Family Application - kittmcarthur.co.uk

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Primary Carer Details

Name(Required)

First Last

Gender(Required)

Male

Female

Date of Birth

DD slash MM slash YYYY

Occupation

Working Hours

Secondary Carer Details

Name(Required)

First Last

Gender(Required)

Male

Female

Date of Birth

DD slash MM slash YYYY

Occupation

Working Hours

Contact Information

Home Address

Street Address Address Line 2 City ZIP / Postal Code Country

Home Telephone

Preferred Mobile

Alternative Mobile

Preferred Email

Alternative Email

Phone WhatsApp

Your Children's Details

Child 1 Name

Date of Birth

DD slash MM slash YYYY

Gender

Male

Female

Child 2 Name

Date of Birth

DD slash MM slash YYYY

Gender

Male

Female

Child 3 Name

Date of Birth

DD slash MM slash YYYY

Gender

Male

Female

Child 4 Name

Date of Birth

DD slash MM slash YYYY

Gender

Male

Female

Do any children live away from home?

Yes

Family Information

Hobbies/Interests

Family Pets: [Number, type, and nature]

Do any children live away from home?

Yes

Are all pets sociable and child-friendly?

Yes

No (If no, provide details below)

Please provide further details on your child's allergies

Can special diets be catered for? e.g. Vegetarian or Vegan

Yes

Further details on the above (if appropriate).

Are there any smokers in the household? Yes/No (If yes, specify whether inside or outside the property)

Yes - Inside the property

Yes - Outside property only

Please note that students have the right to request a non-smoking host family.

Your Religion (if applicable):

Previous experience hosting overseas students (If yes, provide details)

Yes

Further details of experience hosting overseas students

Do you host other students?(If yes, provide details)

Yes

Please note that families working with other guardianship organisations should not accommodate more than three students at any given time when hosting students from BSA Guardianship Organisations.

Further details regarding hosting other students

Do you have any permanent lodgers or additional family members who may stay overnight during the student’s accommodation? Yes/No (If yes, please provide details)

Yes

Any extended or additional family members over the age of 16 must undergo an Enhanced DBS check.

Further details of any permanent lodgers or additional family members who may stay overnight during the student’s accommodation

Number of students you can accommodate: [Maximum of 3 students per BSA policy]

Available rooms for student accommodation:

Yes

Twin Room

Yes

Ensuite

Yes

Double Room

Yes

Is the room(s) in good condition and well-lit?

Yes

Number of toilets:

Please enter a number from 1 to 10.

Total number of bathrooms/showers:

Please enter a number from 1 to 10.

Will the student have sole use of a bathroom?

Yes

(If no, please provide details below)

Further details on Bathroom sharing

Will the student have a private bedroom? (If no, please provide details)

Yes

Note: Students of the same gender may share rooms if mutually agreed, but privacy must be ensured at all times. Students of the opposite gender may be accommodated in the same household, but not in shared bedrooms.

Further details on Bedroom sharing

Wi-Fi available?

Yes

Piano available?

Yes

Is Gas supplied to your property?

Yes

(If yes, include Gas Safety certificate number and date)

Gas Safety certificate number and date

Smoke Alarms:

Yes

(Are they regularly tested?)

Carbon Monoxide Alarm

Yes

(If applicable)

Please upload a screenshot or pdf of the following for all family members over 16 years old: Passport Driving licence Utility bill or bank statement dated within the last 3 months.

Passport screenshots(Required)

Drop files here or

Accepted file types: jpg, png, pdf, Max. file size: 400 MB, Max. files: 6.

Passport screenshots for all family members over 16 years old

Driving licence screenshots(Required)

Drop files here or

Accepted file types: jpg, png, pdf, Max. file size: 400 MB, Max. files: 6.

Utility bills or bank statements (recent within the last three months)

Drop files here or

Accepted file types: jpg, png, pdf, Max. file size: 400 MB, Max. files: 6.

• House Insurance: Please inform your insurance company of hosting international students. Failure to do so may invalidate your insurance cover. • Car Insurance: If your car will be used for student transport, ensure your insurance covers this. If driving a child under 12 years or 135cm height, a child car seat is required.

Car insurance details

Car Insurance Policy Number and Insurer

Household insurance details

Household Insurance Policy Number and Insurer

References • Professional Reference: Must have known you for at least 2 years and must not be a family member. • Personal Reference: Must have known you for at least 2 years and must not be a family member. • A follow-up phone call will be made to each reference as part of our commitment to Safer Recruitment

Professional Reference Details

Professional Reference name

First Last

Professional Reference Occupation

Professional Reference Address

Street Address Address Line 2 City ZIP / Postal Code Country

Professional Reference Email

Professional Reference Phone

Personal Reference Details

Personal Reference name

First Last

Personal Reference Occupation

Personal Reference Address

Street Address Address Line 2 City ZIP / Postal Code Country

Personal Reference Email

Personal Reference Phone

Keeping Students Safe

As part of your commitment to working with us, it is important that you are aware of up to date Safeguarding advice. Safeguarding is about ensuring our student's mental and physical welfare and this also extends to our host families.

Please ensure you read our Safeguarding Policy and Prevent policy on our website. Our disclosure form is also under Policies (see kittmcarthur.co.uk/our-policies ). If you would like a hard copy, or have any questions please contact Kitt McArthur.

Do you have any safeguarding training?

Yes

Some - please provide details below.

If you answer No, we will arrange an NSPCC Basic Safeguarding course for you.

Details of any safeguarding training

Host Family Agreement

By submitting this form, the Host Family agrees to adhere to all responsibilities and policies outlined in Kitt McArthur Educational Guardians’ Safeguarding Policy. The agreement is subject to DBS checks and may be terminated if safeguarding concerns arise.

Consent(Required)

I agree to the Kitt McArthur Educational Guardians’ Safeguarding Policy

Consent(Required)

I confirm that I have no criminal record and am suitable to work with children.

Consent(Required)

I understand that all references will be verified.

Consent(Required)

I consent to the collection and processing of personal data in compliance with GDPR.

Please see Kitt McArthur Educational Guardians’ Safeguarding Policy. (Opens in new tab.)

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Host Family Application Form

Professional Reference Details

Personal Reference Details

Keeping Students Safe

Host Family Agreement