Home >For Homestay >Camp Schedule
I agree that I have read and understood the policies and guidelines set out by Win-Camp, Winglish.com.
I want to be a homestay family.
I have experienced Win-Camp program already .
I don’t have experience yet, however, I have applied for your program already
HOW DID YOU FIND OUT OUR PROGRAM?
Advertising
Acquaintances who have already experienced our programs as host families.
Others
WRITE THE EXACT PERIOD THAT YOU CAN ACCOMMODATE A STUDENT(PLEASE BE SPECIFIC).
IF YOU PROVIDE US YOUR ACCOMMODATION AVAILABILITY IN ADVANCE, WE WILL TRY OUR BEST TO MAKE ARRANGEMENTS WITH STUDENTS.
POSSIBLE SEASON
/
/
(dd/mm/yy) ~
/
/
(dd/mm/yy)
POSSIBLE SEASON
/
/
(dd/mm/yy) ~
/
/
(dd/mm/yy)
CONTACT PERSON
FIRST NAME
LAST NAME
HOME PHONE
-
-
MOBILE PHONE
-
-
FAX
-
-
E-MAIL
ADDRESS
Zip Code
FAMILY INFORMATION
FAMILY
MEMBER
NAME
SEX
DOB
(dd/mm/yy)
JOB/SCHOOL & GRADE
HOBBY
FATHER
/
/
MOTHER
/
/
CHILD1
Male
Female
/
/
CHILD2
Male
Female
/
/
CHILD3
Male
Female
/
/
CHILD4
Male
Female
/
/
CHILD5
Male
Female
/
/
FAMILY ACTIVITIES
PLEASE CHECK ACTIVITIES OR INTERESTS, WHICH YOUR FAMILY WOULD BE WILLING TO SHARE WITH A STUDENT
Bike Riding
Sightseeing
Picnics
Swimming
Beach
Camping
Yachting
Horse Riding
others
HOST FAMILY HOME DESCRIPTION
1 .HOW MANY BEDROOMS DO YOU HAVE AVAILABLE FOR STUDENTS?
1 room
2 rooms
3 rooms or over
2 .WHERE IS THE STUDENT’S ROOM LOCATED IN YOUR HOME?
upstairs
the first floor
basement
3. IS THAT SINGLE ROOM OR TO BE SHARED WITH YOUR CHILD?
Shared
Single
4. IS THE STUDENT’S BATHROOM PRIVATE OR SHARED?
Shared
Single
5. PLEASE CHECK WHICH HOUSEHOLD FACILITIES YOU HAVE:
Computer
Internet
PlayStation
XBOX
Pool
HotTub
Family Room
others
6. PLEASE CHECK THE CONTENTS OF STUDENT’S ROOM
Single bed
Double Bed
desk
wardrobe
others
7. IF YOUR FAMILY HAS PETS, PLEASE SPECIFY TYPE AND NUMBER:
Big dog /
Puppy /
Cat /
others
8. PLEASE ATTACH YOUR FAMILY PHOTO FILE
HOMESTAY EXPERIENCE
1. DO YOU HAVE BLUE CARD?
YES
NO
2. DO YOU HAVE HOMESTAY EXPERIENCE?
YES
NO
IF YES, FROM WHICH COUNTRY, HOW MANY STUDENTS HAVE YOU HAD BEFORE?
- Student(s) from Korea
- Student(s) from Japan
- Student(s) from China
others
3. DO YOU HAVE ANY PREFERENCES WITH REGARD TO GENDER/ AGE?
Yes
No
Gender :
Boy
girl
any Gender.
Age :
7
8
9
10
11
12
13
14
15
16
yrs ~
7
8
9
10
11
12
13
14
15
16
yrs
any Age.
4. OTHER COMMENTS THAT YOU WOULD LIKE TO ADD?(500bytes)
HOMESTAY EXPERIENCE
1. DO YOU HAVE ANY PREFERENCES WITH REGARD TO GENDER/ AGE?
No, I don’t have
Yes, I have
Gender :
Boy
girl
I don’t prefer any Gender.
Age :
1
2
3
4
5
6
7
yrs ~
1
2
3
4
5
6
7
yrs
I don't prefer any Age.
2. OTHER COMMENTS THAT YOU WOULD LIKE TO ADD?(500bytes)
PAYMENT SELECTION
I WOULD LIKE TO BE PAID BY CHECK.
Please write address where you can receive check if address is different from the address on ‘Contact person'
I WOULD LIKE TO BE PAID BY WIRE TRANSACTION.
Please fill in the blank information.
Beneficiary's Name :
Bank Name :
Bank Address :
Bank No :
Bene’s A/C No :
