Malaspina University-College

STUDENT EVALUATION OF HOST FAMILY (Confidential)

DIRECTIONS TO STUDENT: Please complete and return this form, along with your completed Moving Notification / Intent to Return Form to the Centre for International Education, Building 255, Main Reception, at Vancouver Island University.

Today’s date: Date of move from host family: Student name: Student number: Host Name: Student E-mail address:

1) Do you think this family should host another international student? Yes □ No □

Would you recommend this host family to another international student? Yes □ No □ If you answered “No,” please explain why you feel this host should not have another student.

2) What activities did you do with the host family?

3) Was your room satisfactory? Yes □ No □ If you answered “No,” please explain what you did not like about your room.

4) Did you enjoy your meals in your Homestay? Yes □ No □ (Not applicable □) If you answered “No,” please explain what you did not like about the food.

5) Were you able to study quietly at your host’s home? Yes □ No □ If you answered “No,” please explain why you had problems studying.

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Student name: Student number: Host Name: Student E-mail address:

6) Were you often left alone without any family members at home? Yes □ No □ If you answered “Yes,” please explain when you were left alone.

7) Do you have any additional comments about your host family or the VIU Homestay/Peerstay Program?

Your opinion is important. Thank you for completing this evaluation. This information will be kept private.

 Please allow three to four weeks from the date of your move for VIU to process and return your Deposit.

 Deposit cheques can be picked up at Reception Desk in Building 255, at the Centre for International Education, Vancouver Island University.