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 + 5% GST 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:*
E-mail Address:*
Home Phone:*
Home Fax Number:
Note: Your contact information will be only visible to student who have paid their placement fee and logged in with their username and password.

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: