Homestay Host Application


Please supply all information requested. Except for the specific, limited uses indicated in this form, all information that you supply will be kept strictly confidential.

Host Information

Name of Applicant

Home Address:

Children/Other Residents Living at Home:

Resident 1:

Home Information

*Students should be able to get to Lakehead University 45 minutes commute (must be near a public transit route)

Hosting Information

Lifestyle Information


Please provide 2 references (not relatives)

Reference 1

Reference 2

I/We have read and understand the Homestay Information Sheet on the LUI website and agree to abide by the terms of that information. I/We declare that all the information provided in this application is accurate, and understand that any inaccurate information may invalidate this application. I/We agree to have a criminal record check done for each household member over the age of 18 years and understand that this application will not be processed until Lakehead University International receives all of the criminal record checks.