ビクトリア留学

CPCI Homestay Request Form

If you meet the requirements and wish to apply to become a home stay family please submit the following information and we will send a formal  application to your home.

Registrant Information

First Name*
Last Name*
Title
Company
Street Address*
City*
Province*
Postal Code*
Home Phone*
Cellular Phone
Fax
Email*
Interested in hosting *    

* Required inputs.

  


Canada Pacific College International (CPCI)
412-645 Fort  Street
Victoria, BC, V8W 1G2
E-mail:
250-384-2724
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