Homestay Reference Check Form - Host Families New Zealand

Host Families NZ - Reference Check Form

Can you please provide us your full name?

First Last

What is your phone number?

What is your email address?

Which family are you providing reference for? Please provide their full name

What is your relationship to the applicant (the Host Family)?

How often do you keep in contact with them?

How long have you known them?

Can you describe this family for us?

Based on your knowledge, do you think he/she (the family) would be a good homestay parent? And why?

To your knowledge, has any member of the family been accused of a crime or misconduct with children?

If there anything else you would like us to know?