HOMESTAY phone: 416-537-8881
Student Information Form
Please help us to find the best homestay for you. Answer the questions below and send us this form.

Choose one of these addresses:

E-mail: klynn@ica.net or Fax: 416-537-9984

HOMESTAY
462 Ossington Avenue,
Toronto, Ontario,
Canada
M6G 3T2
1. Your name:
2. Male __ Female ____
3. Your address:

Street

Apartment number

City

Country
Phone number. List more than one if you want:
Fax number:
E-mail address:
4. Have you registered with a school? Yes __  No __
If yes, name and address of school. When does school start?

 
5. (optional) If no, do you need help in choosing a school? What do you want to study?

 
6. Occupation:
7. Birthday:   day ____ month ____ year ____
8. Hobbies, special interests:

 
9. Do you wish to be picked up at the airport? The cost for pick up and return is $150 Canadian.

Yes, pick-up and return __   No thanks  ___
10. Arrival Date: day ___ month_____ year_____

Flight number:

Airline:

Time of arrival am pm

11. Departure Date: day ___ month____ year_____
12. Do you have allergies? Yes __ No ___
If yes please describe. Food?...................................................... Other? .........................................................
13. Can you live with a dog? A cat?
14. Do you prefer to live with children?
15. Do you have any other preferences?
Thank you very much! We will be able to find a good homestay for you. All of our homes are inspected and our homestay hosts are trained. We hope you will come and stay with us!
WELCOME TO CANADA
© HOMESTAY 1999