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Host Family Application Form

Family Information

Children/Grandchildren

Other Students/Visitors/Relatives

Home Information

Additional Information

Please send photos

References

Family Information

Home Address*

Mother

First Name*

Last Name*

Date of Birth* Occupation* Work Tel Cell Phone* Home Phone Email*

Father

First Name*

Last Name*

Date of Birth* Occupation* Work Tel Cell Phone* Home Phone Email*

Children/Grandchildren

Skip to the next section if this doesn't apply.

First Name*

Last Name*

Relation* Gender* MaleFemaleOther Date of Birth*

Other Students/Visitors/Relatives

Skip to the next section if this doesn't apply.

First Name*

Last Name*

Start Date*

End Date*

Gender* MaleFemaleOther Date of Birth*

Home Information

Home Type*

Number of Bedrooms*

Number of Bathrooms*

Smocking Permitted? YesNo

Number of Pets

Pet Breed

Additional Information

How long have you lived at this address?* How involved are you in your community?* Not InvolvedSomewhat InvolvedVery Involved Family interests?* How many bedrooms do you have available for students?* Location of bedroom Size of room* Type/size of bed Number of beds Preferred age of students Cannabis used* YesNo

Please send photos of family, student's bedrooms, pets, interior and exterior of home*. Upload no more than 10 photos, max 5MB each.

References

Please add at least two references. References should be familiar with your family and home life for at least three years. References cannot be relatives or family members.

First Name*

Last Name*

Occupation*

Phone

Canada Spark

Vancouver, BC
Canada

(778) 881-9687 infocanadaspark@gmail.com

Home
About Us
Students
Host Families
Resources

Home
About Us
Students
- Apply Now
Host Families
- Apply Now
Resources
- FAQ
- Our Programs
  - Winter Camps
  - Summer Camps
Contact Us

Host Family Application Form #text-2034068011 { text-align: center; }

Family Information

Mother

Father

Children/Grandchildren

Other Students/Visitors/Relatives

Home Information

Additional Information

References

Host Family Application Form