CS Homestay Introduction Form | The Chinese Language Institute

Basic Information

Name

First

Last

Date of Birth

Email

Program Name

Student Profile

Please briefly introduce yourself to your homestay family

What are your hobbies and interests?

Have you ever spent more than a few days away from your family?

If yes, please briefly elaborate.

Is there anything else you'd like your host family to know about you and/or your family?

Dietary Restrictions

If not applicable, enter N/A

Allergies

If not applicable, enter N/A

Health Restrictions

If not applicable, enter N/A

Favorite Foods

Least Favorite Foods

Spoken Chinese Level

Selected Value: 0

On a scale from 0 to 6, with 0 being 'Absolute Beginner' and 6 being 'Highly Advanced', how would you rate your current spoken Chinese ability?

Personal Note or Additional Comments

Any additional information you would like to share with your homestay family prior to your arrival (optional)

Your Photo

Drag & Drop Files, Choose Files to Upload

Families often request a recent photo of their guest prior to your arrival. If you would like to share a recent photo of yourself, please upload one here (optional)

Participant Signature

I declare that:

My information as entered above is accurate and correct to the best of my knowledge.
I have read and I accept CLI's Homestay Waiver (link opens in new tab).