Thank You for Filling in the Application! Please Send It To

ChinaESL-Your best Choice

www.chinaesl.com.cn email:

Homestay Application

Personal Information
Family name: / First name:
Age: / Gender:
Nationality: / Passport number:
Contact information:
Address:
Cell phone: / Home number:
Email address:
Emergency contact person:
Name: / Relationship:
Cell phone number: / Home number:
Email address:
Education background(Start from High school):
Employment History ( Job Title, Employer, Dates of Employment):
Homestay information
Why do you choose homestay?
Do you smoke? ( )
A. Yes B. No / Do you drink alcohol? ( )
A. Yes B. No
Do you mind if a family with children?( )
A. Yes B. No / Do you mind if a family with a pet?( )
A. Yes B. No
What time you usually get up? / What time you usually go to bed?
Will you attend any Chinese program? If so please write down where the school is.
Do you have any preference about the location of the Chinese family? If so please write down where you would like the Chinese family located.
How long do you want to stay in the Chinese family? Please write the intending starting date and the intended ending date.
What are your hobbies?
How many hours do you want to stay with the family in one week?
Are you married? If so will your wife or husband live with you in the Chinese family?
Do you have any special requirement for the Chinese family? If so please write down what it is.
Do you need airport pick up? If so, please write down your airplane number, arrival date and time and which airport you are going to land.
How did you hear us? ( )
A.  Friends
B.  Google
C.  Other searching engine
D.  Other way(Please write down which way)

Thank you for filling in the application! Please send it to

We will find you the most suitable Chinese family as soon as possible.

Adress：Room 507 XingLongRenHe Office Building XiCheng Beijing Post Code：100035

Tel：+86-10-66562633 Cell：13366631890 Fax：+86-10-66561721