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HOST FAMILY PROFILE

Host Parent 1

Host Parent 2

Work Phone Number

Work Phone Number

Cell Phone Number

Cell Phone Number

Email

Email

Last Name

Last Name

First Name

First Name

Date of Birth ([dd/mm/yyyy)

Date of Birth ([dd/mm/yyyy)

*Student Name and hosting term are for internal purposes.

Gender

Gender

Occupation

Occupation

Student Name:* Hosting Term (Year):*

HOST FAMILY PROFILE

Family Information

Please list all other people currently living in the home:

Will there be any visitors/international students/room and board to your home during your students stay? If so, please list:

Name (First) Name (Last) Relation Gender (M/F) Date of Birth (yyyy/mm/dd)

Name (First and Last) Relation to Hosts Gender (M/F) Age Length of Stay (Days)

Host Family Details

Home Address

Home Phone NumberPostal Code/Zip Code

City Province/State

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Home Information

Pets

1. Do you have any pets? No Yes, If yes, please list

Cats

Dogs

Other

Number Breed Indoor Outdoor

1. What is the style of your home (Please check which best describes the home)?:

Detached Apartment Bungalow Semi-Detached Townhouse Farm

Number of Bedrooms: Private

Number of Bathrooms Shared with Family: Yes No, student will have own bathroom

Smoking: If so, Indoor or Outdoor

2. Please describe your home and surrounding area:

HOST FAMILY PROFILE

Interests and Activities

Please indicate family interests and activities:

Swimming Reading History Hiking

Drawing Baseball Music Shopping

Snowboarding Collecting Martial Arts Painting

Video Games Hockey Biking Camping

Tennis) Horseback Riding Basketball Soccer

Cooking Theatre Concerts Boating

Dance Gardening Photography Skiing

Golf Fishing Movies Walking

Computer Other: Other: Other:

School Information

Name of School Student Will Be Attending

Method of Transposition To/From School: School Bus City Bus Walk Other:

Distance to School (one way, in minutes)

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Exchange Students Room

Our Home!

PHOTOS

Now it’s time to provide us with a little glimpse into your life and home through photos!

Please provided some photos of host family and exterior of the home.

We encourage you to get creative with your photo collage, but please keep in mind the collage requires the following:

• A minimum of 4 photos

• Photos must be of a good quality and decent size - they should be clear, crisp and visible; not blurry or distorted.

• A description for each photo (tell us names of who/what is in the photo, what you are doing, where you are - anything you think is important!)

• Photos must be contained in a document (multiple pages is ok!) so it is easy for us to send the collage along to your potential host family. We’ve found that an easy way to put the collage together is to use Microsoft Word or a similar program to paste photos and descriptions in.

Have fun putting your collage together - we can’t wait to see it!

If you need a little inspiration for the collage please just ask us, we can provide a sample.

Host Family!