Niagara College International Student Housing Application Form

Please note that ALL FIELDS on this application form
are required to be completed unless otherwise noted.

PART I - PERSONAL INFORMATION

I am applying for HOMESTAY | I am applying for DORMITORY/RESIDENCE

Family Name:     Given Name(s):

Street Address:     City/Town:

Province/State:     Postal Code/Zip:

Country:     City and Country of Citizenship:

Telephone:     (Country Code) + (Area Code) + Number

Date of Birth: (Year / Month / Day) / /     Gender:

Language(s) Spoken:     Email:

Expected Date of Arrival: / /     (Year / Month / Day)

Program:     Campus: Welland | Niagara-on-the-Lake

Length of Stay:

Vista Status: Visa approved | Visa still processing | Have not yet applied for Visa

PART II - PERSONALITY PROFILE

The following questions are for the purpose of finding compatible roommates or families.
Please answer the questions accurately and give as much information as possible:

Do you have any allergies? (Food, medicine, pets, etc.) Yes | No

If yes, please specify:

I smoke: never | occasionally | regularly

I prefer my room: very neat and clean | reasonable | less organized

I eat: anything | vegetarian/vegan | no pork

Please specify any special dietary restrictions:

I socialize/party: a lot | sometimes | not often

I go to bed: early | varies | late

I like music/TV: a lot | sometimes | not often

I like sports: to play | to watch only | never

What hobbies and interests do you have?

How would your best friend describe you?

Have you travelled outside your own country before? Describe where and length of time?

I have completed: high school | college/university | higher ed

I have worked full time as:

PART III - HOMESTAY AND RESIDENCE/DORMITORY POLICIES

HOMESTAY

As a homestay student, you will be welcomed as part of a Canadian family. You will have your own private room equipped with a bed, desk, chair, and a place to store your belongings. Living with a Canadian family allows you to experience Canadian culture and support. All of our homestay families live within walking distance to the Welland Campus. Our Niagara-on-the-Lake homestay students must take the bus to get to the college.

Family Preferences:

Children (over 10 years):           Yes | No Another Student: Yes | No

Small Children (10 years and under): Yes | No Pets - Dogs: Yes | No

        I am bringing a computer: Yes | No Pets - Cats: Yes | No

HOMESTAY POLICY:

  • The cost of Homestay is $600 Canadian per month. When you arrive at your homestay you must pay two months ($1200) your first month and a deposit that will be held by your homestay to pay for your last month in their home. The next homestay fee is due on the first of the following month.  You must give your homestay family 30 days notice before leaving your homestay.
  • It is expected that you pay full fee for months that include vacations when you choose to be away from your homestay.   If you are in a homestay for extra days at the beginning or end of the month when you arrive or depart, the fee is $20 per day.   If you and your homestay family agree to make a change to the homestay policy, complete a Change in Homestay Agreement and return a signed copy to the International Housing Coordinator.
  • Your meals are included in your homestay fee. You can expect to have dinner meals with your host family, and learn about Canadian foods.  You may have to prepare your own breakfast and lunch.
  • The homestay fee includes: a private bedroom equipped with bed, desk, dresser, storage for your belongings and internet connection.  It also includes meals, drinks and some snacks.  If you have special foods you like you may be required to purchase them yourself.
  • A homestay placement is for a minimum of two months.  We recommend that moving only take place between terms.
  • If you have concerns about your homestay, you should notify the International Housing Coordinator immediately.

RESIDENCE/DORMITORY (on campus)

  • The cost of Residence is $5,800 for September 2009 to April 2010 plus a $250 security deposit that is refunded 4-6 weeks after your departure if the room is undamaged. ($450 per month plus $250 security deposit for May to August 2009)
  • For payment details contact housing@niagaracollege.ca
  • Each student has their own bedroom and shares a bathroom and kitchen (fridge and microwave) with one other person.
  • You will need to apply several months prior to your arrival to be considered as many students apply very early.
  • You must purchase your food and prepare your meals yourself. Meal plans are available at Niagara College.
  • If you move into the Residence before the date listed on your lease, you will need to pay $30.00 per day for the extra time that you are there.
  • You will need to provide your own linens, blankets and pillows for the bedroom. You will also need to supply your own kitchen supplies, such as dishes, pots, silverware, etc.
  • Please note that the Residence is a non-smoking facility.
  • Internet access is included.
  • For more information go to www.niagaracollege.ca/residence

Notes for Winter Term Only (September to April):

  • When you sign the lease, you are committing to September to December and January to April. If you leave before April, there is a penalty and you may not receive any money back.
  • If you plan to stay over the winter holiday, you will be required to pay an additional $200.00 (not included in your fee). Otherwise, you will be required to leave 24 hours after your last exam at the end of the first semester in December. You will be allowed to return the first day the college is re-opens in January.

For Homestay and Residence payment details, please contact housing@niagaracollege.ca

Please confirm that you have read the above homestay
and dormitory/residence policy documentation

YES, I HAVE READ THE POLICY DOCUMENTATION.

PART III - COMPLETE AND SUBMIT APPLICATION TO NIAGARA COLLEGE

Please check that you have completed all fields accurately
before submitting this form to Niagara College International Education.

Errors or omissions may cause delays in the
processing of your International Student Housing Application.

Print a copy of this form for your records before submitting.