Homestay Extension Form

If you have any difficulties in completing this form, please contact us by e-mail: info@emcicanada.com

Please provide accurate information for the following fields.

 X  Indicates response required.

Please Note: All Homestay students must give EMCI a minimum of 2 weeks notice before their original end date to extend their homestay term. Giving 2 weeks notice does not guarantee the availability of the Homestay family.

Title:   Choose One Mr. Mrs. Ms.   X First Name:    X Last Name:    X Host Family Name:   Host Family Phone #:   (604-999-9999) Date Homestay Started:    X (Turn off pop-up blocker) Original End Date:    X (Turn off pop-up blocker) New End Date:    X (Turn off pop-up blocker) By clicking on sign-up you agree with the EMCI Refund Policy and Homestay Rules, and terms incorporated therein. You also agree to EMCI processing and storing your information in Canada. By clicking YES, you are attaching your electronic signature to this Homestay Application. You are aware of your rights and responsibilities between yourself and EMCI Canada.