Thank you for your interest in becoming a host family with Canadian Conversation College. If you would like to become a host family for our international students, please complete the form below. Before you send this form after completion, please read our Terms & Conditions carefully. You can also print this application form, fill out and fax or mail it to us.

Fax Number: 1-403-263-2039
Address: Canadian Conversation College  #120, 909-7th Avenue S.W. Calgary AB CANADA T2P 1A6

First Name
Last Name
Title Mr.     Ms.
Date of Birth  /  /   ( mm / dd / yy )
Occupation
Company
Home Address
Telephone Numbers   Home:
  Work:
  Cell:
Fax Numbers
E-mail Address
Please list the members of your family and other people living at home.
Name Age Relationship Occupation
Name Age Relationship Occupation
Name Age Relationship Occupation
Name Age Relationship Occupation
Name Age Relationship Occupation
 
Do you speak English as a mother language? Yes     No
If no, What is your mother language?
What are main activities or hobbies of your family?
Do your family have pets? Yes     No
If Yes, What kind of pets?
How many do you have?
Have you or any other family ever been arrested or convicted for any criminal offence? Yes     No
Are there any special health conditions in your family? Yes     No

Homestay Information
 

How many bedrooms are available for homestay?
Is the internet connection possible in the rooms? Yes     No
Do you prefer male students or female students? Male     Female     No Preference
Would you permit outside smoking? Yes     No
Is your home located within walking distance to a bus stop or a LRT station? Yes     No
Would you be willing to provide airport pick up service for the student? Yes     No
Have you ever hosted international student before? Yes     No
Are there any comments you would like to leave to the future guests?

Terms and conditions


1. The monthly Homestay fee is $600.00 or if necessary $20.00/ day. The fee should be paid directly to the family from the students.
2. The host families should provide the students with
   - a clean furnished bedroom and a bathroom facility
   - necessities such as toothpaste, shampoo, and detergent
   - a breakfast, lunch & dinner
3. The home should be safe and comfortable, and has hospitable environment.
4. The families should be friendly and helpful so that the international students are given plenty of opportunity to practice their English.
5. The host families should be willing to include the students in family activities.
6. The hosts are strongly encouraged to provide airport pickup for the students as a mark of welcoming them.
7. Canadian Conversation College recommends that the hosts provide the written house rules to ensure a mutual understanding.
8. The hosts should understand that Canadian Conversation College is not liable for any damages or loss caused by the hosts or the students.

By signing below, I certify that the information provided above is accurate, and I have read and understand the terms and conditions of Host Family.

Full Name:

Date:

/            /

Signature:

* Canadian Conversation College will be contacting you by phone or email when we have students available for you.