Student Homestay Application

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Thanks for your interest in Polar Trails homestay program. We recommend applying at least 30 days prior to your arrival in order to find the best possible homestay match.

Contact Information

First Name
Last Name
Sex
Birthdate
Home Address
Telephone
E-Mail
Nationality

Arrival Information

Arrival Date

(We do not accept student arrivals on Dec 24 or 25th)
Arrival Time
Flight Number
Length of stay in Canada
Name of school attending in Winnipeg

Medical Information

Do you have any medical conditions?
If yes, please explain.
Are you under doctor care at present?
Are you allergic to anything?
If yes, please explain.
Emergency Contact
Emergency Contact Relation (father/friend/etc.)
Emergency Contact Phone

Personal Characteristics

Do you smoke?
Which one best describes you?
Do you spend a lot of time at home?
Do you enjoy an active social life?
What sports do you enjoy?
What is your favorite music?
Other hobbies:

Living Conditions

Do you want a private room?
Would you live with a family that has children?
Would you live with a family that has pets?
Would you live with a family that smokes?
Would you live with a family that has another international student?
 

English Level & Program Information

Please comment on your English level and what
ESL or other program you have chosen (i.e. TOEIC, IELTS, UTP 1/2, Hospitality).
 Please note that students in homestays are not allowed to drive/operate motor vehicles.
Please be sure to go over our Homestay Terms & Conditions (opens in new window).

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