Homestay Host Family Application

Primary Contact Information

Full Name Relationship to Student Phone Number Email Address Home Address

Family Members

List all household members (Name, Age, Relationship)

Home Description

Type of Home House Apartment Other Number of Bedrooms Facilities and Amenities

Homestay Preferences

Preferred Student Gender No Preference Female Male Available Duration (weeks/months) Can you accommodate special dietary needs? Yes No Do you have any pets?

Additional Information

Why do you want to host a student? Other Comments