MPL Student Services International (MSSI)

Name *

First

Last

Address *

Provide full address including postal code and country

Phone number *

Include area code

Email *

Language spoken at home *

Date of Birth *

DD/MM/YYYY

Occupation *

Number of People in Home

Selected Value: 0

List Household Members *

Can write multiple, (Name, Age, Relationship, Occupation/School)

Do you have pets? *

If yes to pets, List type, quantity and where they stay?

Are you comfortable hosting students of any gender? *

Number of bedrooms available for students?

Selected Value: 0

Describe the students room(s)? *

Ex – furniture, amenities etc

Do you provide Internet access? *

Do you allow smoking in the house? *

Have you hosted international students before? *

If yes, from which countries?

What do you enjoy about hosting students? *

Reference 1 *

Please provide: Name, Phone, Email, Relationship

Reference 2 *

Please provide: Name, Phone, Email, Relationship

Do you consent to a home visit and background check? *

Signature *

Type your full name as e-signature

Online Homestay Application Form