Become a Host Family Get in touch Homestay Family Application Family InformationPlease list all of your family members, including your children.Number of your family(Required)Please enter a number from 1 to 10.Family member 1(Required) First Name Family Name Email(Required) Phone(Required)Gender(Required) Female Male Other Date of birth(Required) MM slash DD slash YYYY Occupation(Required)Family member 2(Required) First Name Family Name Email PhoneGender(Required) Female Male Other Date of birth(Required) MM slash DD slash YYYY Relationship with Family member 1(Required) Occupation(Required)Family member 3(Required) First Name Family Name Gender(Required) Female Male Other Date of birth(Required) MM slash DD slash YYYY Relationship with Family member 1(Required) Occupation(Required)Family member 4(Required) First Name Family Name Gender(Required) Female Male Other Date of birth(Required) MM slash DD slash YYYY Relationship with Family member 1(Required) Occupation(Required)Other family membersPlease list other family members with their name, DOB, gender, and occupation.House InformationHow many rooms are you offering? 1 2 3 4 or more Address(Required) Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Please list your family’s hobbies and interests:(Required)Why would you like to become a homestay family?(Required)Please tell us about you pet(s). If you don't have any pets, please write "N/A"(Required) Preference(Required)Choose all that apply Male only Female Only Any gender Vegetarian Student OK Smoker Student OK Minor student Only Adult Student Only Any age Select AllHomestay ExperienceHave you hosted international students before?(Required) Yes No If yes, which school(s) have you hosted from?(Required) Inlingua Global Village EF School district Uvic Camosun Sprott Shaw College Other Do you have a copy of Criminal Record Checks?(Required) Yes No If no, are you willing to get one? It is a requirement to become our host family.(Required) Yes No Maybe Emergency ContactName(Required) First Last Phone(Required)How did you hear about inlingua Victoria?(Required) Agency Website Friends Family Member Other Referral Name - from friends First Last Referral Name - from family member First Last NameThis field is for validation purposes and should be left unchanged.
