Host Family Application

 

PEOPLE WHO LIVE IN YOUR HOUSE

NAME

AGE

RELATIONSHIP

OCCUPATION

1st LANGUAGE

 

HOME INFORMATION

  Address :

   Postal code :  Home tel :

  Work tel :

 Cell  :      

  Fax :       

 E-mail :   

 

TRANSIT INFORMATION
  Type of  transit to downtown : Bus    Skytrain   Seabus   Other  

  How long does it take to go downtown?

 

HOUSEHOLD INFORMATION
  Do you have pets Yes No     If yes, describe :

  Do you smoke Yes No   

 Do you have a computer Yes No   

  Internet? Yes No   

 Can students use laptop? Yes No   

  Will the student have access to a TV? Yes No            VCR? Yes No   

  What are your family's hobbies and activities?

  What activities would the student participate in?

 

YOUR COMMENTS

  If I were a student, why would I want to live with your family?

 

REFERENCES

  Name :     Relationship :    Tel :
  Name :     Relationship :    Tel :