Host Application Form

Application to Host

Thank you for considering hosting with First Choice International Placement Inc.

Please complete the application in it’s entirety as it provides us with the information that we need to promote your family to incoming international students.

This form collects private information about you so that we can determine the type of homestay environment you are able to offer and the features that may be of interest to prospective students.

Primary Contact for the Family

Your First Name

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Your Last Name

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Gender
Male
Female
Other

Gender

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Occupation

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Residential Address

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Zipcode

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City

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- select your country -
Åland Islands
Afghanistan
Albania
Algeria
American Samoa (US)
Andorra
Angola
Antigua and Barbuda
Argentina
Armenia
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda (UK)
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burma (Myanmar)
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Central African Republic
Chad
Chile
China
Colombia
Comoros
Congo, Democratic Republic of the
Congo, Republic of the
Cook Islands (NZ)
Costa Rica
Croatia
Cuba
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
East Timor (Timor-Leste)
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands (UK)
Faroe Islands (Denmark)
Fiji
Finland
France
French Guiana
French Polynesia (France)
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar (UK)
Greece
Greenland (Denmark)
Grenada
Guam (US)
Guatemala
Guernsey (UK)
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong (China)
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Isle of Man (UK)
Israel
Italy
Ivory Coast
Jamaica
Japan
Jersey (UK)
Jordan
Kazakhstan
Kenya
Kiribati
Korea, North
Korea, South
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau (China)
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Mauritania
Mauritius
Mayotte (France)
Mexico
Micronesia, Federated States of
Moldova
Monaco
Mongolia
Montenegro
Morocco
Mozambique
Namibia
Nauru
Nepal
Netherlands
New Caledonia (France)
New Zealand
Nicaragua
Niger
Nigeria
Niue (NZ)
Norfolk Island (Australia)
Northern Mariana Islands (US)
Norway
Oman
Pakistan
Palau
Palestinian territories
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands (UK)
Poland
Portugal
Qatar
Réunion (France)
Romania
Russian Federation
Rwanda
São Tomé and Príncipe
Saint Helena, Ascension and Tristan da Cunha (UK)
Saint Kitts and Nevis
Saint Lucia
Saint Pierre and Miquelon (France)
Saint Vincent and the Grenadines
Samoa
San Marino
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen (Norway)
Swaziland
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Togo
Tokelau (NZ)
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
Wallis and Futuna (France)
Western Sahara
Yemen
Zambia
Zimbabwe

- select your country -

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Home Phone

Invalid phonenumber!

Country of Birth
Afghanistan
Albania
Algeria
Andorra
Angola
Antigua and Barbuda
Argentina
Armenia
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bhutan
Bolivia (Plurinational State of)
Bosnia and Herzegovina
Botswana
Brazil
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cabo Verde
Cambodia
Cameroon
Canada
Central African Republic
Chad
Chile
China
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Croatia
Cuba
Cyprus
Czechia
Democratic People's Republic of Korea
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini
Ethiopia
Faroe Islands
Fiji
Finland
France
Gabon
Gambia
Georgia
Germany
Ghana
Greece
Grenada
Guatemala
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hungary
Iceland
India
Indonesia
Iran (Islamic Republic of)
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jordan
Kazakhstan
Kenya
Kiribati
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libya
Lithuania
Luxembourg
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Mauritania
Mauritius
Mexico
Micronesia (Federated States of)
Monaco
Mongolia
Montenegro
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Zealand
Nicaragua
Niger
Nigeria
Niue
North Macedonia
Norway
Oman
Pakistan
Palau
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Poland
Portugal
Qatar
Republic of Korea
Republic of Moldova
Romania
Russian Federation
Rwanda
Saint Kitts and Nevis
Saint Lucia
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Sweden
Switzerland
Syrian Arab Republic
Tajikistan
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom of Great Britain and Northern Ireland
United Republic of Tanzania
United States of America
Uruguay
Uzbekistan
Vanuatu
Venezuela (Bolivarian Republic of)
Viet Nam
Yemen
Zambia
Zimbabwe

Country of Birth

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Your E-mail Address

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Passport Issuing Country
Afghanistan
Albania
Algeria
Andorra
Angola
Antigua and Barbuda
Argentina
Armenia
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bhutan
Bolivia (Plurinational State of)
Bosnia and Herzegovina
Botswana
Brazil
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cabo Verde
Cambodia
Cameroon
Canada
Central African Republic
Chad
Chile
China
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Croatia
Cuba
Cyprus
Czechia
Democratic People's Republic of Korea
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini
Ethiopia
Faroe Islands
Fiji
Finland
France
Gabon
Gambia
Georgia
Germany
Ghana
Greece
Grenada
Guatemala
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hungary
Iceland
India
Indonesia
Iran (Islamic Republic of)
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jordan
Kazakhstan
Kenya
Kiribati
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libya
Lithuania
Luxembourg
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Mauritania
Mauritius
Mexico
Micronesia (Federated States of)
Monaco
Mongolia
Montenegro
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Zealand
Nicaragua
Niger
Nigeria
Niue
North Macedonia
Norway
Oman
Pakistan
Palau
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Poland
Portugal
Qatar
Republic of Korea
Republic of Moldova
Romania
Russian Federation
Rwanda
Saint Kitts and Nevis
Saint Lucia
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Sweden
Switzerland
Syrian Arab Republic
Tajikistan
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom of Great Britain and Northern Ireland
United Republic of Tanzania
United States of America
Uruguay
Uzbekistan
Vanuatu
Venezuela (Bolivarian Republic of)
Viet Nam
Yemen
Zambia
Zimbabwe

Passport Issuing Country

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Adults in the Home

Please enter the total number of adults (over 18 years of age) who regularly reside within the home and, where indicated, provide information about the other adults and their relationship to the Primary Applicant.

Total Number of Adults in the Home (including yourself) *

Total Number of Adults in the Home (including yourself) *
one
two
three
four
five
six

Total Number of Adults in the Home (including yourself) *

Field is required!

Children in the Home

Please enter the total number of children/teens (under 19 years of age) who regularly reside within the home and provide the given name, year or birth, and gender for each child/teen listed.

Total Number of Children/Teens in the Home

Total Number of Children/Teens in the Home *
one
two
three
four
five
six

Total Number of Children/Teens in the Home *

Field is required!

Pets in the Home

Please enter the total number of pets that reside at your home and indicate the name, type, and characteristics of each pet listed.

Total Number of Pets in the Home *

Total Number of Pets in the Home *
one
two
three
four
five
six

Total Number of Pets in the Home *

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Features of the Home

Please indicate the type of home that you reside in

Single Family Dwelling

Condominium

Townhouse/Duplex

Apartment

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Please indicate the various features inside and outside your home

Exercise Bike

Games Room

Home Theatre

Hot Tub

Large Yard

Multiple Bathrooms

Patio Deck

Second Kitchen

Swimming Pool

Tennis Court

Treadmill

Weight Room

Yoga Studio

Field is required!

Please indicate the instruments that may be available to students (with permission)

Cello

Drums (Electric)

Drums (Regular)

Guitar (Acoustic)

Guitar (Electric)

Piano (Regular)

Piano (Electric)

Piano (Grande)

Organ

Violin

Wind Instrument(s)

Field is required!

Will a student have exclusive use of a bathroom in your home?

No, bathroom(s) shared by other residents in the home

Yes, a private bathroom may be available

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Available Bedrooms in the Home

Please indicate the number of bedrooms available in your home for students and describe the type of bed and the included items within each bedroom.

Total Number of Bedrooms Available for Students *
One
Two
Three
Four

Total Number of Bedrooms Available for Students *

Field is required!

General Areas of Interest

The following general areas of interest are important to prioritize as they tell us something about you and/or your family and may be useful in identifying areas of similar interest for incoming students.

Select up to five (5) general areas of interest that are current priorities for you. *

Animals: i.e. Animal care, Animal rescue, Riding horses, Training animals

Competitive Sports: i.e. Extreme sports, Individual sports, Team sports

Environment: i.e. Climate change, Recycling, Social engagement

Health & Fitness: i.e. Aerobics, Exercise, Healthy eating, Meditation, Yoga

Humanities: i.e. Archaeology; Culture, Education, Philosophy, Politics, Religion

Literature: i.e. Autobiographies, Historical novels, Fiction, Poetry, Self-help books, Writing

Music: i.e. Listening to music, Going to concerts, Playing an instrument, Writing lyrics

Outdoor Recreation: i.e. Boating, Gardening, Fishing, Golfing, Hiking, Skiing, Snowboarding, Swimming

Performing Arts: i.e. Acting, Bands, Dancing, Magic, Mime, Singing, Theatrical Performances

Social Connection: i.e. Community Involvement, Family activities, Social Media, Volunteer Work

Technology: i.e. Automobiles, Computers, Software development, Video games

Field is required!

Describe how engaged you and/or your family are in these general areas of interest *

...

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Smoking and/or Vaping Considerations

Please indicate your preferences pertaining to smoking and/or vaping

Smoking and/or vaping is not allowed

Smoking and/or vaping allowed outside only

Smoking and/or vaping allowed inside

Field is required!

Meal Considerations

Please indicate the type(s) of specialty meals that you may be able to provide.

Diabetic-friendly

Gluten-free

Halal

Kosher

Lactose-free

Nut-free

Pescetarian

Pork-free

Shellfish-free

Vegan

Vegetarian

Field is required!

Gender & Age Considerations

Please indicate the type(s) of students that you are willing to host. *

Female(s) 8-13 yrs

Female(s) 14-16 yrs

Female(s) 17-18 yrs

Female(s) 19+yrs

Male(s) 8-13 yrs

Male(s) 14-16 yrs

Male(s) 17-18 yrs

Male(s) 19+yrs

Couple

Small Family

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Motivation Considerations

Please explain your motivation for hosting one or more international students.

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Previous Hosting Experience

Have you had previous hosting experience?

No, I/we have not previously hosted students.

Yes, I/we have previously hosted students.

Field is required!

Referral Considerations

Please indicate how you learned about First Choice International Placement Inc.

Community Bulletin Board

Family Member

Flyer Delivered to Home

Friend or Neighbour

Internet Search

Newspaper Ad

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Availability

Please indicate your preferred starting date to host an international student.

Select a date

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Please indicate your preferred time(s) for a home visit *

Morning

Afternoon

Evening

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Declaration of Intent and Accuracy

By submitting this application you are affirming that the information entered is an accurate reflection of you, your family, and your home. Additionally, you are affirming your intent to act at all times in an ethical, honest, respectful and caring manner.

Yes, I confirm that the aforementioned declaration is a true and accurate reflection of my intent. *

Field is required!

Submit