Become a Host Family

To become a Host Family for ECLC, please complete this form.  Our Accommodations Coordinator will contact you to discuss your application. 

Main Applicant
Your First Name *
Your Family Name *
Date of Birth *
Street and Street Number *
City *
Postal Code *
Country *
Contact Details
Home Phone *
Work Phone *
Cell Number
Email Address *
Skype Address
Specify the number of household members living at your address *
Please list all household members living at your address *
Location Details
Are you within walking distance of ECLC? * Yes No
How many kilometres are you from the school? *
What is the closest intersection to your house? *
Are you on a bus route? * Yes No
If yes, what route number?
How many minutes to downtown Halifax by bus? *
Accomodation Details
Please provide a description of your home *
Please provide a description of the area that you live in *
Please provide a description of the Student bedroom *
Which of the following are available for students to use in your home?
Private Room Dresser Cable TV
Private Bath TV in Room Family Room
Shared Bath BBQ
Closet Pool
Do you have internet access? * Yes No
Do you have High Speed Internet? * Yes No
Is there a wireless network? * Yes No
Lifestyle Information
Are there pets that live in your home? * Yes No
If Yes, please specify
Smoking outside is allowed * Yes No
Are there any other restrictions? *
Main language used in the household *
Student gender preference *
List any other preferences *
You will provide assistance with *
Our typical weekend activities include *
Hobbies of Family Members *
Any other details you feel are relevant
Introduction letter to your student *
All successful applicants will be required to sign our Homestay contract and provide a police certificate for each resident in the home that is 18 years of age or older.
By submitting this application, you declare that all information is true and accurate to the best of your knowledge. *

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