Cairns Business College Hostel/Homestay Accommodation Application Form

Please provide the following contact information:
First name
Last name
Home address

City
State/Province
Zip/Postcode
Country
Home Phone
E-mail
Accommodation Information:
Do you wish our accommodation officer to arrange accommodation for you?
	Yes No
If yes, please select your choice
	Homestay with Australian family Other
Do you have any special dietary requirements?
	Yes No
If yes, please specify:
Do you smoke?	Yes No
Do you like pets?	Yes No
Do you have an allergies or medical requirements?
	Yes No
If yes, please specify
Please list an hobbies or interests you enjoy:

Do you have any special accommodation requests?