1

家庭联络信息 Family Contact Information

用于标识该家庭及家庭人员联系方式 Identifying the family and household contact details

家庭姓氏 / Family Last Name Family Last Name

家庭住址 / Home Address Home Address

完整地址，包括城市和邮编 Full address including city and postal code

主要联络人姓名 / Primary Contact Primary Contact Name

与家庭的关系 / Relationship Relationship to Household

联络电话 / Contact Phone Contact Phone

微信号 / WeChat ID WeChat ID

备用联络人姓名 / Secondary Contact Secondary Contact Name 选填Optional

备用联络电话 / Secondary Phone Secondary Contact Phone 选填Optional

2

家庭成员 Household Members

每位住在家中的成员填写一张卡片 One card per household member

请为每位住在家中的成员填写一张卡片，点击下方按钮添加。 Please fill out one card for each person living in the home. Click the button below to add members.

3

语言与文化 Language & Culture

家中主要使用普通话吗？/ Mandarin primary language? Is Mandarin the primary language at home?

是Yes

否No

家中是否使用方言？/ Speak a local dialect? Does the family speak a local dialect?

是Yes

否No

哪种方言？/ Which dialect? Which dialect?

家庭有什么规矩或家风？/ Household rules or values? Household rules or family values?

例如"晚上10点前必须回家"、"进门必须脱鞋" E.g. "Must be home by 10 PM", "Shoes off indoors"

4

住宿条件 Accommodation

描述家庭可提供的住宿环境 Describe the living environment you can offer

可提供独立房间吗？/ Private bedroom? Can you provide a private bedroom?

是Yes

否No

请说明房间安排 / Room arrangement Describe the room arrangement

说明与谁共用、年龄、性别 Who the room is shared with, their age and gender

家中是否安装空调？/ Home AC? Is air conditioning installed in the home?

是Yes

否No

桂林家庭一般使用空调制冷和制暖，通常不单独安装暖气。 In Guilin, homes usually use air conditioning for both cooling and heating, rather than a separate heating system.

学生房间是否有空调？/ Student room AC? Is there air conditioning in the student room?

有，可制冷和制暖Yes, cooling & heating

有，但只能制冷Yes, cooling only

没有No

其他/不确定Other / Not sure

浴室情况 / Bathroom arrangement Bathroom arrangement

与谁共用？/ Shared with whom? If shared, with whom?

洗衣方式 / Laundry arrangement Laundry arrangement

家中有WiFi吗？/ WiFi? WiFi available?

是Yes

否No

5

日常生活 Daily Life

家庭作息概述 / Typical day Describe a typical day in your household

包括：起床时间、晚餐时间、出门/回家时间、晚间安排、睡觉时间、周末活动 Include: wake-up time, dinner time, departure/return times, evening routine, bedtime, weekend activities

是否能每天提供晚餐？/ Provide dinner daily? Can you provide dinner daily?

是Yes

否No

能否配合食物过敏或特殊饮食需求？/ Accommodate dietary needs? Can you accommodate allergies or dietary restrictions?

是Yes

否No

需要了解具体情况Depends on details

父母是否有夜班工作？/ Night shifts? Do any parents/guardians work night shifts?

是Yes

否No

寄宿期间家中是否会有访客过夜？/ Overnight guests? Will there be overnight guests while hosting?

是Yes

否No

请简要说明 / Please describe Please describe

6

宠物 Pets

家中有宠物吗？/ Do you have pets? Do you have pets?

是Yes

否No

宠物种类与数量 / Type and number Type and number of pets

例如"1只狗，2只猫" E.g. "1 dog, 2 cats"

宠物是否在室内活动？/ Pets indoors? Do the pets stay indoors?

是Yes

否No

室内外都有Both

7

安全 Safety

家中有人吸烟吗？/ Anyone smoke? Does anyone in the household smoke?

是Yes

否No

在哪里吸烟？/ Where? Where do they smoke?

家中有烟雾报警器吗？/ Smoke detectors? Smoke detectors installed?

是Yes

否No

家中是否使用蜡烛照明？/ Candles used? Are candles used as a light source?

是Yes

否No

家中有任何安全隐患吗？/ Known home hazards? Any known hazards in the home? (structural, electrical, plumbing, sanitation)

是Yes

否No

请说明 / Please describe Please describe

住所周边有安全隐患吗？/ Neighborhood hazards? Any neighborhood hazards? (traffic, construction, bodies of water)

是Yes

否No

请说明 / Please describe Please describe

8

接待经验 Hosting Experience

以前接待过国际学生吗？/ Hosted before? Have you hosted international students before?

是Yes

否No

接待详情 / Details Details (when, how long, which program)

何时、多长时间、哪个项目/机构 When, duration, program/organization

愿意周末带学生参加活动或外出吗？/ Weekend activities? Willing to include the student in weekend activities or outings?

是Yes

否No

视情况而定Depends

您为什么要参与寄宿家庭项目？/ Why participate? Why would you like to participate in the homestay program? 选填Optional

9

照片上传 Photo Upload

帮助工作人员了解住宿环境 Help staff understand the living environment

👨‍👩‍👧‍👦

家庭合照 Family photo

至少一张 At least 1

🛏️

学生房间 Guest bedroom

建议多角度 Multiple angles

🚿

浴室 Bathroom

🛋️

客厅/公共区域 Living room

🍳

厨房 Kitchen

选填 Optional

🏡

房屋外观 Exterior

选填 Optional

10

补充信息 Additional Information

其他需要补充的信息 / Anything else? Anything else you'd like us to know about your home or family?

喜爱中文培训学校 · 寄宿家庭资料采集表 CLI Homestay Family Profile Form