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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   
   Country of Birth   

   Homestay Mother
   Last Name       First Name   
   Occupation   
   Age Group   
   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 :