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Host Family Interest
Please answer a few short questions so we can contact you with more information. This form should take about 5 minutes.
10
Questions
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1
Your Name
*
This field is required.
Please let us know who should be the main contact during the application process
First Name
Last Name
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2
Your Email
*
This field is required.
example@example.com
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3
Phone Number
A phone number where we can reach you if we have questions for you.
Area Code
Phone Number
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4
Where do you live?
Town/city, province?
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5
How did you hear about us?
Facebook
Instagram
From a family member/friend
From a previous host family
Charity Village
Good Work Canada
Other
Facebook
Instagram
From a family member/friend
From a previous host family
Charity Village
Good Work Canada
Other
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6
Have you hosted before with NYA?
*
This field is required.
YES
NO
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7
What city do you live in?
Please include the Province
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8
Why are you interested in being a Host Family with NYA?
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Ok
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9
Do you need more information about NYA or our Hosting Process before we send you the application?
YES
NO
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10
Do you have any questions for us?
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