I am a Student - Accommodation application

Student - Application

This form will be used as a basis for choosing an ideal family.Please do not omit any information requested.If you think it is important to add any more information, do not hesitate to let us know in advance.
Services I would like to request:*

Airport TransferCustodian LetterHost FamilyAll options above!
Name*

First NameLast Name
E-mail*
example@example.com
Date of birth*

MonthDayYear
Date of arrival at the homestay*

MonthDayYear
Date of departure from the homestay*

MonthDayYear
Phone number with WhatsApp*
Please provide a phone number with access to WhatsApp
Gender*
Please provide your flight details (Arrival and departure)*
Flight details
Do you have any motor limitations? If yes, please describe below.*
Please provide a detailed description
Are you allergic to animals? If so, which ones?*
Please provide a detailed description
Do you have food allergies? *
Please provide a detailed description
Full name of parent/guardian*

First NameLast Name
E-mail*
example@example.com
Parent/guardian's phone number with WhatsApp*
Please provide a phone number with access to WhatsApp
Are you registered in a school in Canada? If yes, please inform us which one*
College, school or high school
Were you referred by one of our partners? We'd love to know who sent you our way!*
College, school or high school
Special Requests / Comments
Should be Empty:

Student - Application