1. Number of people in household
(*)
Please select one
1
2
3
4
5
6
7+
2. Name and gender of people in the household
(*)
Please include ages of children.
4000 characters left
3. Pets?
If yes, please provide type and name/s.
Please select one
Yes
No
4. Occupation/s
5. List 2-3 adjectives that best describe your household
(*)
6. List 2-3 activities that best describe the hobbies, skills and interests within your household
(*)
7. Please share any experiences or insights that may help us match you with a student
4000 characters left
8. If you know any current hosts please list them here, otherwise please list at least one reference.
(*)
Include phone and/or email.
9. How much time do you anticipate spending with the student you host?
(*)
Please select one
Weekly
Bi-Weekly
Monthly
2-3 Times per Semester
10. Gender Preference
(*)
Please select one
Female Student
Male Student
No Preference
11. Are you willing to host more than one student?
(*)
Please select one
Yes
No