Homestay Family Application Form
Email address *
Parents Names *
Street Address, City, Postal Code *
Telephone Numbers (Landline & Cell) *
Primary Email Address *
Parents' Occupations/Employer/Normal Working Hours *
Children & Other Family Members (Name, DOB, Gender) *
What is the primary language spoken in your home? *
What other languages are spoken in your home? *
Have you hosted an international student in the past? *
If yes, what nationality and for how long? *
Why are you interested in hosting an international student? *
Briefly describe your home (Type of home, levels, number of bedrooms, number of bathrooms) *
Briefly describe the room where the student will sleep. (location, approximate size, furnishings) *
Do you have pets? *
If yes, please list pets.
Do any members of your household smoke/vape? *
What are your family's hobbies and interests? *
What kinds of activities would you do that would include the student? *
What are your family's guidelines regarding the use of digital devices? (time limits, use in rooms etc) *
Name of Church you attend *
Briefly describe your family devotional time and church involvement. *
How much assistance are you prepared to give your student with school assignments? *
Please write anything else you feel is important for us to know about your household. (eg: food & mealtimes, laundry, family rules, etc.) *
Please list two references (Name, Phone number, Occupation, Relationship) *
I am willing to provide current Criminal Record Checks for all household members 19 years and older. *
Any other comments? *
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