Host Family Application

 

PEOPLE WHO LIVE IN YOUR HOUSE

NAME

DATE OF BIRTH

RELATIONSHIP

OCCUPATION

1st LANGUAGE

 

HOME INFORMATION

  Address :

   Postal code :  Home tel :

  Work tel :

 Cell  :      

  E-mail :   

 

TRANSIT INFORMATION

  Type of  transit to downtown :
    Bus
        Bus number    
    Skytrain
        Name of the station    
    Seabus
    Other  

  How long does it take to go downtown?   min

 

HOUSEHOLD INFORMATION

   Do you have pets Yes No     If yes, describe :

  Do you smoke Yes No   

   Can student access the computer? Yes No       Wireless? Yes No   

  Will the student have access to a TV? Yes No            DVD Player? Yes No   

  What are your family's hobbies and activities?

  What activities would the student participate in?

 

   How many rooms available for students?

  Shared or private bathroom? Shared bathroom Private bathroom   

   When are you available to host students?   

 

YOUR COMMENTS

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

 

REFERENCES

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