Homestay/Landing Pad Host Application

IMPORTANT INFORMATION

Please note that if you are already an existing host or have hosted previously, you do not need to apply afresh. Please contact the housing team at Housing@niagaracollege.ca for steps on updating your information

Housing Type

Account Name

Primary Host

First Name

Last Name

Mobile Phone

Enter numbers only (no dashes or spaces)

Occupation

Employer

Confirm Email

Have you Hosted previously?

YesNo

Secondary Host

First Name

Last Name

Select a Gender

Mobile Phone

Occupation

Employer

Confirm Email

Do you have other members living at the home that are not the Primary and Secondary Host?

For example, children, parents, grandparents, step children, tenants etc. other than the primary and secondary host.

Number of other Members in the household that are not the Primary and Secondary Host

Number of members in the home other than the primary and secondary hosts noted above.

Family Members Info

Please enter enter the details of each member that lives in the home that is not the primary and secondary host. Please select "Add another response" in the bottom right of this section for each additional household member.

Relationship to Host(s)

Household Member First Name

Household Member Last Name

Household Member Date of Birth

Household Member Gender

Household Contact Information

Home Phone

10 digits, numbers only (no dashes, etc.)

Street

City

Country

Postal Code

Province

We live on a transportation route to

Do you have other international students in your home?

YesNo

Please provide additional information about these students/tenants

Include things such as Age, Citizenship, etc

Number of rooms available (* must be private and have a window)

Room 1 location

Room 2 location

Room 3 Location

Room 4 location

Smoke detectors installed per fire code

YesNoHosts must maintain functional smoke detectors on all levels of the home at all times

Fire extinguisher available in home

YesNoHosts must have at least 1 functional fire extinguisher in the kitchen of their home. We advise an additional extinguisher easily accessible in the sleeping area. Hosts will educate students about their use in case of emergency.

Carbon Monoxide detectors installed per fire code

YesNoHosts must maintain functional carbon monoxide detectors on all levels of the home.

Will your Home Insurance be affected by students living in your home?

YesNoPlease speak with your insurance company about any complications to your policy should there be students living as members of your family in your home.

Any other pets?

Do you or any member of your family smoke?

YesNo

Do you or any member of your family smoke inside your house?

YesNo

Please Specify

TobaccoCannabisTobacco and Cannabis

Will you accept student smokers? (Outside only)

YesNo

We can provide meals for students with (select all that apply)

No food preferenceVegetarian dietNo pork diet

Please specify any allergies or health issues in your family

Can students cook for themselves?

YesNo

Is your family:

Retired/OlderMiddle AgedYoung

Do you find your family is:

Quiet & CalmLively & Outgoing

References

Reference 1 Name

Reference 1 Phone

Enter numbers only (no dashes or spaces)

Reference 1 Email

Must be in a proper email format with no spaces.

Reference 2 Name

Reference 2 Phone

Enter numbers only (no dashes or spaces)

Reference 2 Email

Must be in a proper email format with no spaces.

Reference 3 Name

Reference 3 Phone

Enter numbers only (no dashes or spaces)

Reference 3 Email

Must be in a proper email format with no spaces.

As a Niagara College Host I Confirm That All Information Entered Is True

I understand it is my responsibility to provide Vulnerable Sector Police Checks for all adults 18 years of age and over who are regularly living in the homestay.
I have provided personal references who can be contacted by the International Housing & Settlement Advisor at any time in the future.
I agree to have my name, address, phone number(s) made available to students, agents, Niagara College employees and other hosts, as deemed necessary by International Services & Recruitment
I agree to routine inspection, digital and/or manual representations of homestay spaces as required by International Services & Recruitment.

I agree to the Terms and Conditions above

I consent to receive electronic messages from Niagara College International with information on Niagara College including housing and related information, notices, student information, programs, activities, opportunities, events, promotions and newsletters.

You may withdrawal consent and unsubscribe from Niagara College International's distribution list at any time by contacting international@niagaracollege.ca

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