Home
Students
Homestay Family
Homestay Stories
The Team
Fees
Home
Students
Homestay Family
Homestay Stories
The Team
Fees
Family Application
Please review our
privacy policy
before completing this application.
Please enable JavaScript in your browser to complete this form.
Contact Information
-
Step
1
of 6
Name
*
First
Last
Address
Address Line 1
City
State / Province / Region
Postal Code
Phone
Cellphone
Email
*
Next
Do you have any children?
Yes
No
Children's names
Children's ages
How many members are in your family?
Occupation
Hobbies
Previous
Next
How many bedrooms do you have?
How many rooms are available for students?
Is the student's room private?
Yes
No
How many others in the room?
Does the room have a phone jack or could one be installed?
Yes
No
Does the room have WiFi access?
Yes
No
Is there a computer available?
Yes
No
Is the washroom shared?
Yes
No
Is the washroom on the same floor as the student's room?
Yes
No
Are there pets on the premises?
Yes
No
What kind of pet?
Is smoking allowed?
Yes
No
Comments
Previous
Next
How far to the nearest bus stop?
How many buses to the University/College?
Previous
Next
Reference #1
Reference #2
Do you consent to a criminal check?
Yes
No
Winnipeg Police Criminal Record Check Information
Previous
Next
Nationality Preference
Student age preference
Gender Preference
None
Male
Female
Other
Previous
Email
Submit
