Fillable HOMESTAY APPLICATION FOR HOSTS (College of the Rockies)

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HOMESTAY APPLICATION FOR HOSTS (College of the Rockies)

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The HOMESTAY APPLICATION FOR HOSTS (College of the Rockies) form is 2 pages long and contains:

  • 0 signatures
  • 30 check-boxes
  • 65 other fields

Country of origin: CANADA
File type: PDF

Canada forms for College of the Rockies

BROWSE COLLEGE OF THE ROCKIES FORMS

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HOMESTAY, INTERNATIONAL EDUCATION
2700 College Way, Cranbrook, British Columbia, Canada V1C 5L7
250-489-8248 | homestay@cotr.bc.ca
P
age 1
HOMESTAY APPLICATION FOR HOSTS
Family Name: ________________________________________________ Date: _________________________
Address: ____________________________________________________ Postal Code: ___________________
Home Phone (if applicable): __________________________________________________________________
Please list all household occupants (including children and boarders):
First Name Last Name Gender
Date of Birth
Month – Day – Year
Relationship
to Host #1
Host #1
Self
Host #2
#3
#4
#5
#6
#7
Are any of the above temporary occupants (e.g. boarders)? Please list below, with the expected departure date:
Contact Information
Host #1
Host #2 (if applicable / over 19)
Email
Cell Phone
Work Phone
Employer
Occupation
What languages are spoken in your home? _______________________________________________________
What is the primary language spoken in your home? ________________________________________________
Are you willing to speak only English when your student is present? ____________________________________
How many bedrooms does your home have? _______ How many bathrooms does your home have? ________
Are you willing to host female students? __________ Are you willing to host male students? ________
HOMESTAY, INTERNATIONAL EDUCATION
2700 College Way, Cranbrook, British Columbia, Canada V1C 5L7
250-489-8248 | homestay@cotr.bc.ca
P
age 2
PRINT Last name, First name
Sign
Date
PRINT Last name, First name
Sign
Date
Choose One:
1.
Is your home located on a city bus route?
Yes
No
2.
Do you own or rent your home?
Own
Rent
3.
How many student bedrooms are available?
1
2
3
How many students would you prefer to host?
1
2
3
4.
Do you have smoke detectors installed?
Yes
No
(Required)
5.
Do you have a fire extinguisher?
Yes
No
(Required)
6.
Do you have any pets?
Yes
No
If yes, please list:
Choose One:
7.
Smoke in the house?
Yes
No
8.
Smoke outside only?
Yes
No
9.
Use cannabis on a regular basis?
Yes
No
10.
11.
Use alcohol on a regular basis?
Have a criminal record?
Yes
Yes
No
No
12.
Follow a special diet?
Yes
No
13.
Have a medical or psychological condition that
might impact hosting responsibilities?
Yes
No
If you answered yes to any of the questions above (7-13), please provide additional information.
INTRODUCTORY LETTER On a separate page, please write a welcome letter (typed or handwritten) to
prospective students. This letter should tell your students a little about your family members, your interests,
and why you want to be a host family. It is recommended that you do not include household members’ ages so
the letter can be shared with students in future years.
In signing below, I certify that the information provided here is true to the best of my knowledge.
Host #1: _______________________________ ______________________________ ______________
Host #2: _______________________________ ______________________________ ______________
P
lease submit your completed application to the International Office at College of the Rockies or by email to homestay@cotr.bc.ca
.
Additional requirements: criminal record check, homestay visit, host interview, signed host agreement, direct deposit form (optional).
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HOMESTAY APPLICATION FOR HOSTS (College of the Rockies)

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Completed 5 February 2021

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