Student Homestay Application

Once a semester, our church offers an opportunity to stay at the home of an American family for one weekend. We begin our homestay weekend with a welcome reception. During this time you and other students will get to meet and get to know a little about your host families. During your three-day stay at the home you will experience the normal daily life of a typical American family. If you are interested in experiencing American life more closely, please sign up here.

Personal Information

Name:

English Name (if you have one):

Gender: Male Female

Home Country:

Current Address:

Email:

Phone:

Your Preferences

We can't promise that you will get everything you desire, but we will try.

Would you like to live with children? Yes No
If no, please explain (ex. No children under 3 years old):

Would you like to stay with a family that has a pet?
Yes No No Preference
If no, please explain:

All About You

What are your career goals?

What are three of your hobbies?

Do you have any allergies?
Yes No
If yes, what are you allergic to?

Do you have any physical or medical concerns?
Yes No
If yes, please explain

Do you smoke? Yes No

Please write a brief description of yourself: