Homestay Family Information Sheet
Family Information
Family Name:
Address:
City:
Postal Code:
Phone Number:
Email:
Family Members
Name
Relationship
Age
Occupation/School
Languages Spoken
Home Details
Number of bedrooms:
Number of bathrooms:
Student Room Details:
Pets (if any):
Additional Information
Hobbies / Interests:
Family rules / House guidelines:
Other relevant information:
For Office Use
Date Received:
Assigned Student: