Foreign Student Homestay

Contact Us

HOMESTAY APPLICATION 
PROGRAM INFORMATION

E-MAIL
 
[email protected]
TELEPHONE NUMBER

 (619) 851-1675
Name of Program
Date of Program
Arrival Date
Departure Date
Family Name
First Name
Date of Birth
Gender
Address
City
Country
Postal Code
Home Phone
Fax Number
E-Mail
Do you Smoke? Y/N
Do you Drink? Y/N
Do you have Allergies Y/N
Do you plan on having a car during your studies here? Y/N
Hobbies Y/N
Housing Preferences: Private Bedroom (Breakfast and Dinner Included) Y/N
Shared Bedroom: (Meals Included)
Rent a room in an American home (meals not included). Y/N
Signature and Date _______________________________________
Submit