HOSTING APPLICATION        
Listing Info
Application
Application - Type *
Become a host Become a guest
Listing
Listing - Plan *
Free Premium
Location

Location - Country *
Preferences
Preferences - Gender
Both Female Male
Preferences - Meals Plan *
Preferences - Ages 13+
Yes No
Preferences - Ages 18+
Yes No
Preferences - Smoker
No Smoker Smoke Outside
Preferences - Couples
Yes No
Preferences - Hosting Reasons
Household
Household - Guestrooms
one two three more
Household - Any Vacancy?
Yes No
Household - Adults
one two three more
Household - Adults Age Group *
21-30 31-50 51-70 71+
Household - Host Smoker
No Smoker Smoke Outside
Household - Children
none one two three more
Household - Students
none one two three more
Household - Pets
none one two three more
Household - Guest Suite
Household - Language @home
English French
Household - Second Language
Household - Hosting Experience
Yes No
Household - Hobbies
Household - Homestay Level
Standard Semi-deluxe Deluxe
Household - Home Condition
Good Condition Fairly new Newly renovated
Primary Host
Primary Host - First Name *
Primary Host - Last Name *
Primary Host - Occupation
Primary Host - Gender *
Female Male
Primary Host - Martial Status
Primary Host - Email *
 Email
Primary Host - Confirm Email *
 Email
Primary Host - Mobile *
Primary Host - Home Phone *
Primary Host - Work No.
Second Host
Second Host - First Name
Second Host - Last Name
Second Host - Occupation
Second Host - Relationship
Second Host - Email
 Email
Second Host - Mobile
Children
Children - Child Gender
Female Male
Children - Child Age
Children - 2nd Child Gdr.
Female Male
Children - 2nd Child Age
Children - 3rd Child Gdr.
Female Male
Children - 3rd Child Age
Pets
Pets - Pet Type
Pets - 2nd Pet Type
Pets - 3rd Pet Type
Room A
Room A - Vacancy Date
Room A - Location
Room A - Open Window
Yes No
Room A - Locking Door
Yes No
Room A - Bed Size
Single Double Queen King
Room A - Closet
Yes No
Room A - Desk & Chair
Yes No
Room A - Bedside Table
Yes No
Room A - Television
shared in-room
Room A - Internet
Wireless Cable
Room A - Bathroom
Shared Private Ensuite
Room A - Description
Room A - Included Meals
Room A - Monthly Rate *
Room A - Occupancy Fee
Select +Listing type
Room A - Premium Discount
Select +Listing type
Room A - Net Income
Select +Listing type
Room B
Room B - Vacancy Date
Room B - Location
Room B - Open Window
Yes No
Room B - Locking Door
Yes No
Room B - Bed Size
Single Double Queen King
Room B - Closet
Yes No
Room B - Desk & Chair
Yes No
Room B - Bedside Table
Yes No
Room B - Television
shared in-room
Room B - Internet
Wireless Cable
Room B - Bathroom
Shared Private Ensuite
Room B - Description
Room B - Included Meals
Room B - Monthly Rate
Room B - Occupancy Fee
Select +Listing type
Room A - Premium Discount
Select +Listing type
Room B - Net Income
Select +Listing type
Room C
Room C - Vacancy Date
Room C - Location
Room C - Open Window
Yes No
Room C - Locking Door
Yes No
Room C - Bed Size
Single Double Queen King
Room C - Closet
Yes No
Room C - Desk & Chair
Yes No
Room C - Bedside Table
Yes No
Room C - Television
shared in-room
Room C - Internet
Wireless Cable
Room C - Bathroom
Shared Private Ensuite
Room C - Description
Room C - Included Meals
Room C - Monthly Rate
Room C - Occupancy Fee
Select +Listing type
Room A - Premium Discount
Select +Listing type
Room C - Monthly Rate
Select +Listing type
Photos
Photos - Host(s) (basic L.) *
 
Photos - Room A Bed(s) (Basic L) *
 
Photos - Room A Desk (basic L.)
 
Remarks
Remarks - Referral
Remarks - Referred By
Remarks - Comments
Agreement
Terms & Conditions
I, (the applicant, participant, registrant, host, family, homestay, parent, guardian and/or representative), understand and acknowledge all possible risks related to participating in a homestay program. I agree to release and hold IHA International Homestay Agency (the agency), its entities, employees, agents, share holders, partners, subsidiaries, and representatives harmless, in part or whole,from all liabilities, damage, and/or loss claims. Including any claims that may arise as result of any injury, loss, and/or damage that may and/or may not arise, arose or would arise, as result of direct and/or indirect usage and/or purchase of the agency's homestay accommodation, search, placement, selection, application, listing, pick up, and/or all associated services. I acknowledge that listing services are intangible services like software products that I can at anytime delete or cancel my listing. Listing premium packages and/or subscriptions are non-refundable for voluntary cancellations. IHA reserves the right to remove any listing deemed to be unsuitable, harmful, or does not meet minimum standards.
Agreement- Terms & Conditions *
Yes
Agreement - Criminal Record *
Yes
* Required field
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        08/29/2015