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

Click or drag a file to this area 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).