Homestay Family Application

Personal Information
Names of those living in your household Gender Age
Male Female
Male Female
Male Female
Male Female
Male Female

Address:

Email (Primary Host):

Phone:

Your Preferences

How many students are you willing to host?

Gender of student: Male Female No preference

Will you allow smoking if outside? Yes No

Information about you and your home

Do you have any pets?
Yes No
If yes, please indicate what kind and how many:

What are the occupations/majors of those in your household?

What are three of your hobbies?

Has anyone in your house ever visited another country? Which countries?

Does anyone in your house speak another language? Which languages?

Please explain the accommodations that you can provide (e.g., private/shared room, private/shared bath, etc.)