Host Family Reference

This form is to be completed by the family's close friend (but not a family member), neighbour, current employer, etc.

To the person completing this reference: This family is applying to be a host of an International student. Please answer the following questions as honestly and completely as possible. The host family's application cannot be processed without this confidential reference, so please return it as quickly as possible.

If you have any questions, please send us an email.

Host family's full name:

Your Name:

Your Phone Number:

Your Email:

How long have you known this person/family?:

Please describe the capacity in which you know them:

How would you describe this person/family's level of responsibility and dependability?:

In your opinion, is this family able to provide adequate supervision and to take full responsibility of the student in their care? If not, please explain:

Have you any reason to believe that this person/any member of this family has problems with alcohol or drugs?:

Have you any reason to believe that this person/any member of this family has problems with verbal or physical abuse?:

Would you feel comfortable placing your son, daughter or any other child for whom you are responsible in this person/family's home? :

Please feel free to make any further comments or observations which you feel would help us to better evaluate the family's suitability for billeting a student:

We appreciate the time you took to complete this reference. We may telephone you to clarify any points. If you have any questions or want to follow up, please send us an email.

Thank you!