Homestay Application for Students

Fields marked * are required.

General Information

No English
Beginner
Intermediate
Advanced


Yes
No
Family Information

Please list the names and ages of your brothers and/or sisters

Emergency Contact
Personal Information
Yes   No   No Preference  


Yes   No   No Preference  


Yes   No   No Preference  


Yes   No   No Preference  


Yes   No   No Preference  


Yes   No  


Yes   No  


Yes   No  


Your Personality

Please check all which describe you*

 Quiet
 Tidy
 Cautious
 Religious
 Noisy
 Shy
 Cheerful
 Messy
 Open-Minded
 Picky Eater
 Outgoing
 Independent
 Frugal
 Organized
 Serious
 Private
 Talkative
 Athletic
 Energetic
 Nervous
 Calm
 Other
Please write a letter to your host family to tell them what you would like them to know about you.
  • What are your hobbies and interests (examples: movies, camping, sports, computers)?
  • Describe your hometown - is it a big city, countryside, how many people live there?
  • Describe your life with your family and friends.
  • Do you have any pets?
  • Describe your personality
  • Why do you want to live with a host family?
  • Other Information
    How did you hear about the homestay program?*


    Program Agreement

    In my homestay, I agree to:

  • Treat all host family members with respect.
  • Make every effort to adapt to my new home and become part of the family.
  • Follow my host family's household rules.
  • Bring guests into my host family's home only with prior permission.
  • Not drink any alcohol, including beer and wine, if I am under 21 years old. I also understand that the use of any illegal drugs is strictly forbidden, and if I am caught using them I will be asked to leave my homestay immediately.
  • Only make long distance telephone calls at my own expense (possible ways to do this: cell phone, pre-paid telephone card, internet services, such as Skype).
  • Pay for any damages I cause to the host family's home or property.
  • Pay my homestay fees on time, directly to the host family.

  •  I have read and understood the program agreement. I agree to follow the homestay policies listed on this agreement.*