Homestay Family Application

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Contact Information
First Name
Last Name
Home Address
Postal Code
Telephone
Cell Phone
Fax
E-mail

Family Information
How many members?
Do you have any children?
Children’s names:
Children’s ages:
Occupation
Hobbies

Home Information
How many bedrooms?
How many rooms available for students?
Are the student’s rooms private?
If No, how many others in room?
Does the room have a phone jack or could one be installed?
Is there a computer available?
Washroom shared?
Is washroom on the same floor as students room?
Are there pets on the premises?
If Yes, What kind of pet?
Is smoking allowed?
Comments:

Transportation
How far to the nearest bus stop
How many buses to the city center & Red River College?

References
Reference 1
Reference 2
Criminal check?

Homestay Preferences
Student Age preference
Gender Preference
Nationality

 

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