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If you have any questions about being a host family, please feel free to contact us.


 

  

Homestay Host Family Application

Please provide the following information about you and your family:

Note: Fields marked with an * are required.

  1. Please provide the following contact information:

    Title: Mr.   Mrs.   Ms.
    * Name:
    * Address 1:
    Address 2:
    * City:
    * State/Province:
    * Zip:
    Country:
    * Work Phone:
    * Home Phone:
    Fax:
    * E-mail:

  2. Please describe yourself:

    * Occupation:
    * Date of Birth:
    * Marital Status: Single   Married   Divorced  
    Separated   Widowed

  3. Please provide information about your spouse (if applicable).

    Title: Mr.   Mrs.
    Name:
    Occupation:
    Date of Birth:
    Marriage Anniversary:

  4. * How many children under the age of 6 live in your home?



  5. * Year you begain hosting students as a Homestay family?

  6. * Travel time from your home to city center in minutes?

  7. * Students normally travel to and from the city center by:

    Local Bus
    Express Bus
    Subway
    Bicycle
    Walking
    Provided by Host Family


  8. If you selected a public transportation travel option, please specify the Bus or Train route number and stop name nearest to your home.

  9. * Do you allow smoking in your home? Yes No

  10. * What type of pets do you have?

    Dog
    Cat
    Birds
    Fish
    Other
    None

  11. Do you have a piano? Yes No

  12. Do you have a swimming pool? Yes No

  13. * Please list your favorite hobbies/interests.

  14. * How many Student Rooms do you have available?

  15. * Do you prefer Male or Female visitors?

    Male   Female   Either

  16. * What other language(s) do you speak?

  17. Where did you hear about New York Accommodations Centre?
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