The Wayback Machine - https://web.archive.org/all/20060615094643/http://vancouverhomestayagency.com:80/application.html

Vancouver Homestay Agency

HomeAbout us  Contact us

VANCOUVER HOMESTAY

 

    Homestay Applicants

   Services

   Guidelines

   Rates

   Application

   Payment

Become a host family

 

 

Vancouver Homestay

Brochure (English)

 

 

Homestay Application: Students & Visitors

Please fill-out all parts of this application in order save time and allow VHA to help you. We require all information to be completed to the best of your knowledge.

Should you have some missing information, please do not forget to forward missing information, as soon as possible, in an email. Here is Homestay Application in Adobe .PDF Format

*Please consider using the following online application.

NOTE: Incomplete application won't be considered.

Bookmark us   

Victoria Homestay

Whistler Homestay

 

  Homestay Applicants Only

 

Homestay Application on     

Submitted by i.e. applicant name, parent, organization, or other:

 

Subject : for host family application, please click here

Destination / City or Town: Other

*Student/Visitor Information:

First Name: Last Name: 

Home Address:

City/Town:   Province/State:

Country: Postal/Zip Code:

*Email Address: Phone:

Gender: Male:  Female:   Nationality Age:

Date of Birth (day-month-year): Passport No.

If you there are traveling with a family member or companion,

please specify here

Parent(s) Information (If available)

Parent Name(s) :

Street Address:

City/Town: Province/State:

Country: Postal/Zip Code:

e-mail: Phone:

Important: Please recheck your email and phone number for any typo.

*Emergency Contact, if different than parent(s)

Name: Phone:

Relationship: e-mail:

Homestay Requirements

*Homestay Dates (dd-mm-yyyy): From:   To:

Level of accommodation required:

Without Meals:   With meals: 

Do you accept the homestay program rates?  Yes    No

Knowledge of English language:   Beginner Intermediate Advanced

Hobbies & Career Goals:

 

What is the purpose of your stay in Vancouver?

*Which School, College, University, or Internship

will you be attending in Vancouver?  (nearby homestay location, if available)

School Name:

School Address: 

School start date: (day-month-year)

Do you have a Student Visa?  Visitor Visa?  Working Holiday Visa

Resident Visa?  Canadian Citizen?  none, so far?

Since a hospital bed costs about $5,000 a night,

Do you have Medical Insurance?                Yes     No 

If no, will you purchase insurance?             Yes     No 

Please note that insurance cost is about $2 a day, but very valuable

If you will purchase, would like more info!   Yes     No 

Do you smoke?                                         Yes     No

IF YES, are you willing to smoke outside?    Yes     No

Please note that smoking is not allowed anywhere inside buildings.

Do you drink Alcohol?                                Yes     No

Is a home with a pet acceptable?                Yes     No

If you selected no to pets, which house pet(s)?

Do you have any allergies?                                  Yes      No

If yes, caused by:     

Do you have any physical or mental conditions?    Yes      No

If yes, please explain:

Do you require special medical treatment?           Yes       No

If yes, please explain:

Do you need a special diet?                                 Yes      No

If yes, please explain:

Additional comments, questions, concerns

How did you hear about us? If you found us on the Internet,

which search engine did you use and what did you type?    

Flight information (If possible): 

Arrival date: (day-month-year)     Airport Name:

Airline: Flight# Arrival time: 

Is airport pickup service required?  $75.00        Yes: (Recommended)     No:

Is airport drop off required (Cost CND $69 additional)

Do you accept our placement fee?                       Yes      No

Do you agree to Student or Visitor Guidelines?  Yes      No

Do you accept our disclaimer?                             Yes      No

If you are sharing the room with a friend or a relative, please fill another application for a second person. By submitting this application you acknowledge that you true and binding, and that you will allow a couple of weeks for our research and that you will check your email regularly for expected family profile or contact us to follow up. Please check the next page, after clicking submit, for further instructions.

 

international

 

 

Vancouver Homestay

 

North Vancouver Homestay

 

West Vancouver Homestay

 

Burnaby Homestay

 

Victoria Homestay

 

Homestay in Vancouver

 

Summary: English . French . Spanish . Italian . German . Japanese . ِِArabic . Turkish . Chinese CN . Chinese TW . Korean

Home  | About Us | Contact Us | Site Map | Privacy Policy | Disclaimer | Student Visa | Vancouver | Homestay | Links | Add URL

Homestay Applicants : Agency Services | Student Guidelines | Homestay Rates | Homestay Application | Payment Method
 Become a Host Family : Host Family Guidelines | Host Earnings | Host Family Application
 
www.VancouverHomestayAgency.com the official website of Vancouver Homestay Agency
Copyrights reserved to VHA - Vancouver Homestay Agency Inc.