Homestay Application Form

Please complete the form below to submit your Coquitlam College Student Homestay Application.

1. Student Information

2. Parent / Guardian Information

3. Accommodations & Flight Information

If your arrival time is not known, please contact Coquitlam College Homestay Department at least 10 days prior to your arrival.

4. Medical Insurance

5. English Proficiency

6. Complete & Submit Application

By clicking Submit Application, you indicate that you have read and agree to the Coquitlam College Homestay Terms & Conditions.