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Information sheet for host families

Kind of residence:

Do you prefer students who learn :

Name :

Second name:

Language spoken at home:

Address :

Home phone / Cell / Office:

Fax:

Number of bedrooms for students :

Number of bathrooms:

Independent bathroom:

Accesibility

Metro:

Bus:

Total time from your house to M.I.I.L.A:

Student Preference

Do you have a preference regarding the students you host?:

if yes, please specify:

Description of your host family

Description of your host family:

Country of origin:

Children (and their age):

Animals(please specify):

Does someone smoke in your family:

Do you accept students who smoke?:

Meals

Tell us the meals you can prepare/serve:

Possibility to cook vegetarian meals?

Usual dinner time:

Is it a flexible time?

Facilities

Access to a laundry room?:

If any, please tell us the conditions/ restrictions regarding the use of the laundry facilities:

Internet access?

Wireless?:

Access to a TV in the student bedroom?:

In the living room?:

Security

Do you give a key of the front door to the student?:

Do you give a key of the bedroom to the student?:

If any, special security rules?:

Activities: Student + Host family

Do you organize activities with your students?:

Please specify:

This is the end of our questionnaire!

We thank you for your time and will be in touch with you shortly.

Contact us

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Phone
- + 1.514.509.4242
Send a E-mail
- info@miila.ca
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