|
Destination Personal Details Home Address Emergency Details Homestay Request School Details Travel Details Agreements |
| Homestay Destination - Tell us where do you want to stay? |
|
|
|
|
|
|
1) Destination Country |
|
Application Type |
|
2) State/Province |
|
|
|
|
3) City/Town |
wait page reloads here. |
Other City/Town/Suburb |
|
| Pesronal
Details - Your information |
|
First Name |
|
Last Name |
|
|
Citizenship |
|
Birth Date (mm/dd/yyyy) |
 |
|
Gender |
|
Passport, DL, or ID Number |
|
Email |
|
|
Your Photo |
|
|
Destination Personal Details Home Address Emergency Details Homestay Request School Details Travel Details Agreements |
| Home Address Details |
|
Street Address |
|
City / Town |
|
|
Province / State |
|
Country |
|
|
Postal Code / Zip |
|
Other Country |
|
|
Country Code |
telephone code of your country |
Area Code (tel) |
telephone code for your city or town |
|
Home Phone Number |
i.e. 555-6677 |
Cellular/Mobile Phone # |
include area code |
| Emergency
Details- Someone who we could contact
in case you need emergency or urgent help. He or she can
be your parent, uncil, brother, sister, friend,.. |
|
Emergency Contact Name |
|
Relationship |
|
|
Email |
|
Country Code (tel) |
i.e. USA is 1, UK is 44, ...etc |
|
Area Code (tel) |
area code of city or town |
Home Telephone Number |
i.e 555-6666 |
|
Cellular Phone |
|
|
|
| |
| Homestay
Request Details - Tell us about your
homestay accommodation needs! |
|
Homestay Start (mm/dd/yyyy) |
<=Use Calendar <= |
Homestay End (mm/dd/yyyy) |
<=Use Calendar <= |
|
Traveling Companion |
|
Homestay Level |
|
|
Meals Preference |
|
Smoker |
|
|
Pet Friendly |
|
Any Allergies |
|
|
Health Condition Detail |
|
Special Diet Detail |
|
|
Special Request |
|
English Level |
|
|
Healthcare Insurance |
|
Referred by |
|
|
Referred By (Website, School...) |
|
Homestay Purpose |
|
| |
|
|
Destination Personal Details Home Address Emergency Details Homestay Request School Details Travel Details Agreements |
| School Details (if any) |
|
School, college, or Uni Name |
|
Stree Address |
|
|
School City |
|
State/Province |
|
|
School Country |
|
Zip/Postal Code |
|
|
School Start Date (mm/dd/yyyy) |
<= Use Calendar <= |
Hobbies |
|
| Travel Details |
|
|
|
|
Arrival Date (mm/dd/yyyy) |
<= Use Calendar <= |
|
|
|
Airport Name |
or appriviation like YVR |
Arrival Time |
i.e. 13:05 or 1:05 PM |
|
Airline & Flight No |
i.e. AC123 or LH123 |
Airport Pickup (Recommended) |
|
|
|
| Agreements & Submit Profile -Things you need to know.. |
|
I accept Application Fee |
(One-time fee of $250) |
I accept Guest Guidelines |
Guest Guidelines |
|
I accept terms & conditions |
Terms and Conditions |
|
|
|
| |
| | | | | | |