Global Language Institute

HOMESTAY REGISTRATION FORM

I. PERSONAL INFORMATION

SEX:

What language are you interested in? SpanishFrenchEnglish

What is your level of that language? BeginnerPre-IntermediateUpper-IntermediateDon't Know

Accommodation Options: HomestayFurnished departmentFurnished houseHotelHostal


II. FAMILY INFORMATION


III. EMERGENCY CONTACT


IV. PERSONALITY

PLEASE ANSWER THE FOLLOWING QUESTIONS TO HELP MATCH YOU WITH A HOMESTAY FAMILY

CHECK THE WORDS THAT DESCRIBE YOUR PERSONALITY

SHYINTROVERTEDSOCIALACTIVEINDEPENDENTORGANIZEDEASY TO PLEASEEXTROVERTEDFRIENDLYQUIET


VI. FAMILY PREFERENCES AND LIFESTYLE

I LIKE CHILDREN/BABIES: YESNO

I CAN LIVE WITH CHILDREN 6-12 YEARS OLD: YESNO

I PREFER TO LIVE WITH KIDS MY AGE: YESNO

I PREFER A HOME WITH NO KIDS: YESNO

I LIKE HAVING GRANDPARENTS IN THE HOME: YESNO

I LIKE TO LIVE WITH AN ACTIVE FAMILY: YESNO

I LIKE TO LIVE WITH A QUIET FAMILY: YESNO

I LIKE PETS:

ADDITIONAL INFORMATION TO HELP US CHOOSE YOUR FAMILY?:


VII. MEALS

I ENJOY FOOD: YESNO

I HAVE 3 MEALS A DAY (Breakfast, lunch & supper): YESNO

I EAT SMALL RATIONS: YESNO

I EAT LARGE PORTIONS: YESNO

I EAT A BALANCED MEAL: YESNO

I FREQUENTLY EAT HEALTHY FOODS: YESNO

I'M WATCHING MY WEIGHT: YESNO

I LIKE TO TRY NEW FOODS: YESNO

I CAN COOK: YESNO

I LIKE COOKING:

I LIKE MEXICAN FOOD: YESNO

I LIKE SPICY FOODS: YESNO

I DO NOT LIKE SPICY FOODS: YESNO

I LIKE TO ADD MY OWN SALSA: YESNO

WHAT IS/ARE YOUR FAVOURITE FOODS/MEALS?

WHAT FOODS DO YOU NOT LIKE?

ADDITIONAL INFORMATION DESCRIBING YOUR TYPE OF FOOD OR DIET


VIII. PARTICULAR INTERESTS

DO YOU HAVE ANY OTHER LIKES OR INTERESTS YOU WOULD LIKE TO SHARE?

OUT OF HOME ACTIVITIES? WHICH?