Thank you for your interest in becoming a
Homestay Host with CLLC.
Have you contacted our Homestay Coordinator for
more information before completing this application?
If yes, please continue with your application. We
will respond to all applications as quickly as possible.
If No, please contact firstname.lastname@example.org before completing this application.
Students Rooms must be fully furnished, please
select the appropiate description:
Second Reference :
Third Reference :
Homestay Resident Suitability Declaration
All accredited institutions of languages Canada(LC) are committed to proving
their students a secure and safe environment in homestay.
To comply with
Languages Canada Standards, institutions that wish to place students in
homestay must require Criminal Record Checks(CRCs) from all individuals
normally residing in the home who have reached the age of majority.
declarations does not replace the CRC,except as an interim measure.for those
memebers who wish to place students in homestay prior to the required CRC
documents being received by the institution, this form must be use, and it
must be received by the homestay coordinator at the LC institution before
any students are placed in home.
Have you ever
I agree the following conditions:
- I will not engage in any sexual conduct with the student
or sexually harass or use any position of authority as
an adult with the student in an inappropriate manner.
- I agree that if i am convicted of an offence I shall
report it within 24 hours to the LC institution.
- I hereby declare that the foregoing information is true
and complete to my knowledge. I understand that a false
statement may disqualify me from providing homestay
- I agree to apply for a Criminal Record Check(CRC) from
the appropriate authorities wwithin seven days of
completing this suitability Declartion. I further agree
to submit the completed CRC to the LC institution upon
receipt of the CRC.