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 before completing this application.

Primary Contact

Secondary Contact

Are there additional people living in your household?

What are your hobbies?

Students Rooms must be fully furnished, please select the appropiate description:

Is Smoking permitted?

Is Alcohol permitted?

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Second Reference :
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Third Reference :
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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.
This 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:
  1. 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.
  2. I agree that if i am convicted of an offence I shall report it within 24 hours to the LC institution.
  3. 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 accomodation.
  4. 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.