Become a Host Family

We accept homestay family applications all over Canada. Please click here for more information about our program. Application fee of $25.00 CAD + applicable taxes is required to finish your application. Payment options will be given after completing this form.

* Indicates a required field
Family Name:*
Home Address:
Town/City:*
Postal Code:*	(please leave correct postal code to locate your house on the map properly)
Province:*
Country:*
E-mail Address:*
Home Phone:*
Home Fax Number:
Note: Your contact information will be only visible to students who have paid their placement fee and logged in with their username and password. Note as well we do not do the placement of students into the homestay families. Families and students deal directly with each other.

Host Father:	Host Mother:
Father's Date of Birth: (YYYY-MM-DD)	Mother's Date of Birth: (YYYY-MM-DD)
Employer:	Employer:
Occupation:	Occupation:
Work Hours:	Work Hours:
Cell Phone:	Cell Phone:

Kids Living in the House:
Name	Sex	Date of Birth (YYYY-MM-DD)
	Male Female
	Male Female
	Male Female
	Male Female

What languages do you speak in your family (list all)?


Please list your hobbies and activities:
Do you have pets? Yes No
Does anyone in the household smoke? Yes No
Do you allow smoking in your household? Yes No Only Outside


Access to Downtown via City Transit:
Closest Bus stop, Bus Numbers	(e.g. #20, #19)
	Walking time to Bus stop minutes
Closest SkyTrain Station:
	Travel time to Skytrain station: minutes.

Do you have a gender preference for a student? Male Female No Preference
Preferred Student/Hosted Person Age:	From to years
Can you host couples? Requires two beds in one room or queen size bed. (couples can be also a mother and a younger kid) Yes No

How many rooms do you have available?

Comments & Other Info about your family: