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HOME >
Host Family Appl.
If you wish to be a Host Family, please read the
Host Family Guidelines
and then fill in and submit the following informaion:
Homestay Father
Last Name
First Name
Occupation
Age Group
Choose a homestay father's age group
Over 25
Over 35
Over 45
Over 55
Country of Birth
Homestay Mother
Last Name
First Name
Occupation
Age Group
Choose a homestay mother's age group
Over 25
Over 35
Over 45
Over 55
Country of Birth
Residence Address
Street Address
City
Province
Postal Code
Contact Information
Home Phone
-
-
Fax
-
-
Cell Phone
-
-
E-mail
List all children
Name
Gender
Age
Lives at home?
Male
Female
Yes
No
Male
Female
Yes
No
Male
Female
Yes
No
Male
Female
Yes
No
List all other persons living in your home
Name
Gender
Age
Lives at home?
Male
Female
Yes
No
Male
Female
Yes
No
Male
Female
Yes
No
Male
Female
Yes
No
List Two references
Name
Phone Number
City
Province
Relationship
-
-
-
-
What type of home do you reside in?
House
Townhouse
Apartment
Other
How many bedrooms are in your home?
Bedrooms
How many bathrooms are in your home?
Full Bath(s)
Half Bath(s)
Please indicate if you have pets in your home
Cats
Dogs If Other(s)
How many furnished bedrooms are available for students?
Bedrooms
How many students would you like to accommodate?
Students
Will the student share a bedroom?
Yes
No If yes, with whom?
Have you hosted students before?
Yes
No
Do you allow smoking?
Inside
Outside
None at all
Do you have an Internet-accessible computer which can be used by the student(s)?
Yes
No
Primary language spoken at home
Secondary language spoken at home
Please list your family's interests, hobbies, activities and religious affiliation :
Please add any other comments below :