Homestay Application Form

Applicant Information

Address City Postal Code
E-Mail Home Phone Cellular Phone
Building Type I my residence Available Date
Gender Preference Age Preferences

( check all that apply )

15-1819-2930 & Over How many

rooms for students

What Languages Other than English do you speak? What kind of Pets do you have? How Long have you lived in Canada?
How Did you hear about us? What other agencies or schools do you work with? Homestay Experience

Family Information

do not include other homestay guests
Full Name

(include lastname)

Relation Date of Birth Gender Occupation

Criminal Record Check

Yes, I agree to provide Canada Homestay Organization with current Criminal Record Checks for all adults
* Canada Homestay Organization will not reimburse costs for criminal record checks.


Business Temporarily Closed

Due to the COVID19 outbreak we have temporarily closed our office and have halted all homestay interviews. Applications will be processed once we resume operation. Follow us on facebook for the latest updates