Homestay Introduction Form

Basic Information

Name *

First

Last

Date of Birth *

Email *

Program Name *

Health Information

Health Certificate Upload *

Drag & Drop Files, Choose Files to Upload

You may have your doctor complete and sign this template showing that you are in good health and fit to live with a Chinese family, or he/she may use their own form.

Preference for Private Bathroom at Homestay

No squat toilet, please!
Squat toilet, please!
Either is fine

Most home bathrooms in Guilin utilize squat toilets. If preferred, CLI can install a Western-style toilet in your homestay's private bathroom (at no additional cost to you).

Student Profile

Profession

If not applicable, enter N/A

Hobbies and Interests

Dietary Restrictions

If not applicable, enter N/A

Favorite Chinese Foods

Least Favorite Chinese Foods

Allergies (including pets)

If not applicable, enter N/A

Health Restrictions

If not applicable, enter N/A

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).