Global Partners - Host Application

Host Application Form

Family Information

Home Address City

Province Postal Code Home Phone

Mother

First Name Last Name

Occupation Employer

Work Phone

Father

First Name Last Name

Occupation Employer

Work Phone

Please list all people living in home, including mother and father

Name	Relationship	Age	Gender	Interests

Please provide 2 references (not related to Host Family).

Name	Address	Phone

Do you know any other good families who might like to host?

Would your student share a room? Yes No

If "YES", with whom?

Is smoking allowed in your home? Yes No

Have you hosted before? Yes No

Are you able to transport your student to and from the study centre, daily? Yes No

By submitting this application, I agree to abide by Global Partners Institute's policy of one student per host family. Only in the case of a special request from the group organizer, or an emergency, does GPI allow 2 students to stay with the same family at the same time. We further agree not to host a student from another organization at the same time we host the Global Partners institute student.

In the interests of student safety, we agree that GPI may request a police check be provided.

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