Northwest Homestay

Northwest Logo Northwest Homestay and Student Agency is a registered company that has been working successfully in Vancouver, Canada. With over 10 years of experience we offer our clients quality and satisfaction. We help you to find a place to live, you can choose between living with a Canadian family and having two or three meals per day or you can live with the family and cook your own meals.

Homestay Photos

Pricelist

Description	Price
Placement Fee (non-refundable)	$180
Homestay (3 meals per day) Students 18 Years & Older	$189/week $27/night
Homestay (3 meals per day) Students Under 18 Years	$210/week $30/night
Half-Board Homestay (no lunch) Students 18 Years & Older	$175/week $25/night
Half-Board Homestay (no lunch) Students Under 18 Years	$182/week $26/night
Room stay (meals not included) Students 18 Years & Older	$133/week $19/night

Other Fee's
Airport Pick-up fee	$80
Airport Drop-Off	$60
Notarized Custodianship letter (Students under 18)	$100

Application Form

PERSONAL INFORMATION

FAMILY NAMES (S)
GIVEN NAMES (S)
ADDRESSS
TELEPHONE
FAX
E-MAIL
DATE OF BIRTH ( YEAR / MM / DD )
Male Female / Signle Maried GENDER / MARITAL STATUS
AGE
NATIONALITY
LANGUAGES SPOKEN
SCHOOL / OCCUPATION
ENGLISH LEVEL: Very Good Good Fair Poor

HOMESTAY PERIOD

START DATE ( YEAR / MM / DD )
END DATE ( YEAR / MM / DD )

ARRIVAL INFORMATION

START DATE ( YEAR / MM / DD )
END DATE ( YEAR / MM / DD )
AIRLINE NAME
FLIGHT NUMBER
ARRIVAL TIME

HOMESTAY INFORMATION

Do you prefer to stay with a host family that has:

Yes / No / Does not matter YOUNG CHILDREN
Yes / No / Does not matter DOGS
Yes / No / Does not matter TEENAGERS
Yes / No / Does not matter CATS
Yes / No / Does not matter NO CHILDREN
Yes / No / Does not matter BIRDS
Yes / No Do You have any allergies to animals?
If Yes, What Kind?
Yes / No Do You have any allergies to food?
If Yes, What Kind?
Yes / No Do You have any medical problems?
If Yes, What Kind?
Yes / No Do You have any medical insurance?
When will you purchase it?
Yes / No Have you traveled before?
When?
Yes / No Have you lived in Homestay before?
When?
Yes / No Do you smoke?
Yes / No Do you object to smoke (from other family members)?
Do you have any food dislikes or restrictions?
Your hobbies, interests and any other comments:
Terms:
AGREEMENT AND MEDICAL AUTHORIZATION: We are pleased to inform you that your homestay in Vancouver has been arranged for you by: Northwest Homestay and Student Agency I, the undersigned, an applicant for the Homestay Program, do waive and release claims against Northwest Homestay for injury, loss, damage, accident, delay, or expenses resulting from my participation in the program. I also release them and agree to indemnify them with regard to any financial obligations or liabilities that I may personally incur or any damage or injury to the person or property of others that I may cause while participating in this program. I understand that Northwest Homestay is not responsible for any injury or loss suffered by me during periods of independent travel or absence from the school. If I become ill, injured or incapacitated, Northwest Homestay, the host family, or the local coordinators may take such actions as any of them considers necessary, including medical treatment for me and transporting me back to my country, at my own expense. I understand that my participation at the homestay program may be terminated at the sole discretion of Northwest Homestay without a refund of fees and that I may be sent home at my expense if I do not adhere to the rules standards and instructions. I agree that Canadian law shall apply to this agreement and I agree to submit to the jurisdiction of Canadian law. I agree to pay promptly all telephone bills charged by me to the host family phone in case I did not use a pre-paid phone card. I agree to a minimum stay of 4 weeks, and to advise the Homestay Coordinator at least 2 weeks before I plan to leave. If the applicant is less than 19 years old, please have a parent co-sign below.
I've Read & Acknowledge Alexander College's Privacy Policy.

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Northwest Homestay

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