International Student Questionnaire Fill out the online questionnaire. Wait for the invoice we will send you. Make your first payment to book your accommodation. Receive the profile of your Host Family. Page 1 of 6Personal InformationLast Name*First Name*Date of birth*Email address*Sex*FemaleMaleCountry of Citizenship*Passport Number*Address*(Street number, Street name, Apartment)Address*(City,State, Country, Zip Code)Cellphone number*(Country Code + Number)Emergency informationPerson to contact in case of emergency*(Full name)Relation of this person with you*Emergency Contact Phone Number *(Area Code + Phone Number)General informationDo you smoke?*YesNoWhat are your hobbies?*Do you play any instruments?*YesNoWhat instrument(s) do you play?*Do you play any sports?*YesNoWhat sport(s) do you play?*Are you Vegetarian?*YesNoDo you have any specific dietary restrictions?*YesNoPlease specify your dietary restrictions:*Please list your favourite foods to eat at home? *What special things would you say about yourself that you think a homestay family or Canadian student would be interested in learning about you?*Please write 10-15 lines about yourself. What special things would you say about yourself that you think a homestay family or Canadian student would be interested in learning about you? List facts and information about yourself that would help distinguish you from other people. Here are some of the things that you can describe about yourself. - Are you a more outgoing or shy person? - Who is in your family? - Do your parents work? - What kind activities do you do with your family? - Why did you decide to study in Montreal? - What do you like to do in your free time? - etc.NextHealth InformationDo you have any allergies?*YesNoPlease specify what your allergies are:*Have you ever been diagnosed with a psychological or mental health condition (anxiety disorder, eating disorder, etc.)?*YesNoPlease specify any psychological or mental health condition (anxiety disorder, eating disorder, etc.) you have been diagnosed:*Have you ever been diagnosed with a learning disability (ADHD, dyslexia, etc.)? *YesNoPlease specify any learning disability (ADHD, dyslexia, etc.) you have been diagnosed:*Please indicate all prescription medications that you will be taking while you are in Montreal. For each medication, specify the name, the reason and the dosage.*BackNextBackground InformationDo you smoke?*YesNoHave you previously lived with a Homestay family?*YesNoWhere and how long?*Have you ever studied abroad?*YesNoWhere and for how long?*Languages spoken:*EnglishFrenchSpanishOtherSelect all that applyWhat other language(s) do you speak?*Academic BackgroundCity you are coming to:*Kelowna, BCLondon, ONMontreal, QCQuebec City, QCOttawa, ONToronto, ONNiagara On The Lake, ONVancouver, BCOtherCity you are coming to:Reason for coming to Canada*Learn, practice or improve a languagesUniversity exchangeInternshipWorkVacationsPlease specify the language you will be studying:*EnglishFrenchOtherName of the school where you will be studying:*BackNextPersonal preferencesPlease explain with great detail if you have any special preferences. This information helps the Homestay agent to place you in a place that suits your profile. In Canada the definition of “family” is flexible. Your homestay may consist of a young family; a family whose children have grown; a single working woman or man; or a retired couple. The host families are a mirror of the multicultural Canadian society. I prefer my homestay family speaks:*EnglishFrenchEither English or FrenchFamilyPlease rank the following options from highest priority (1) to lowest priority (4). Do not repeat the numbers: We cannot guarantee that you will get your first choice.Young family with small children (ages 1 ½ to 10)*1234Family with grown children*1234Single working woman or man*1234Retired couple*1234Additional CommentsWould you like to live in a homestay with another international student? You would each have a separate bedroom.*YesNoDoes it bother you if members of your homestay family smoke in the home?*YesNoIf you are a vegetarian, do you mind being with a homestay family who eats meat and simply does not serve meat to you?*YesNoI'm not a vegetarianIn Canada, pets (like dogs and cats) live in the house all the time, therefore leaving pet hair in the home. Do you want to live in a house that has pets?*YesNoIn general, what are your expectations of your homestay family: *BackNextMS Homestays ServicesPlease specify the services that you would needArrival Date - Homestay*Departure Date - Homestay*Homestay Plan*Half Board (2 meals per day : Breakfast and Dinner)Full Board (3 meals per day: Breakfast, Lunch and Dinner)RoomMy virtual homestay Do you need the transportation service?*I just need transportation from the airport to my housingI need transportation from the airport to my hosting and back to the airport at the end of my stayNONEBackNextFlight Information (Arrival)This information is VERY IMPORTANT, please make sure it is correct. There is an additional charge if we have to return to pick you up. To diminish the wait time, text or call when you have cleared customs. (514-638-8509)Flight Arrival DateFlight Arrival TimeArrival Flight NumberAirlineFlight Information (Departure)Flight Departure DateFlight Departure TimeDeparture Flight NumberAirlineIf you are coming through an agency / school, please give us the name.We want to be close!We like to know what you are up to and also let you know more about us. Please share your social media username with us so we follow you. You can find us on Instagram and Facebook as MS Homestays.Your Instagram Username:Your Facebook Profile URL:I accept the privacy policies*I accept the privacy policiesBackSendThis field should be left blank
