Create Homestay Host account mock up

Thank you for your interest in becoming a Homestay Host.  

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[Suzy's note: I question whether the user should create an account prior to having their application assessed.  It creates an expectation on the part of the applicant, and a record in the system, when the applicant may not be eligible. Would it be better if they make an application via an online form first, then - if they are eligible - ICTE creates their account with a starting password?]