Homestay Host Application

Name(Required)

First Last

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Date Of Birth(Required)

Gender(Required)

Occupation(Required)

Cell Number(Required)

Email(Required)

Preference regarding student(Required)

Residence Information(Required)

How many spare rooms? And bed sizes?(Required)

Is there a pool?(Required)

Are there other International students in the house? If yes, how many and where from?(Required)

Does anyone in the household smoke?(Required)

Any pets?(Required)

Please list facilities your home has to offer(Required)