Homestay Application

Homestay Application
-Fields marked with * are required
-The placement fee is not required to apply
->Placement Fee : Use this link to bypass this application and submit placement fee via secure CC Processing.
->Option 2: Send us your credit card & billing information via email or FAX
->Option 3: Download application as a PDF and fax or mail into our main office. Questionnaire.
->Submit Late Fee

Application

* Full Name

*male Female

* Applicants Email address:

* Age
(if under 18 sign and return minor's medical release)

* Mailing Address

* Date of birth

* Country of citizenship

Language

* Telephone number

Fax number:

* How long do you plan to study in Washington:

* Desired length of stay in homestay?

(2day minimum; no max)

*What school will you be attending?
(if UW or Pierce CC please specify which campus location)

*Time of placement fee payment? *
now onlinelater by mail/fax

*Billing Name?*

Agent Name?

Agent Email?

**In order to finish application processing please download and return the following via fax or email questionnaire.**

Fathers Name                        Profession


Mothers Name                      Profession


Fathers/Mothers Address

*Person to be notified in case of emergency:
Relationship with this person:

*Day telephone number       Evening telephone number

Telephone number of parents?

Is this your first trip abroad? Please explain:

Have you participated in a home stay before?YesNo

Do you prefer living in a household with another student from your country?
YesNo

Have you studied English:YesNo -For how long?

*What quarter will you begin school? Winter Spring SummerFall

*Approximate arrival/relocation date?
(apps received less than 30 days prior to arrival/relocation or start of college quarter are subject to late fee)

Passport #

yes no                            -Do you plan to drive a car?
yes no                            -Do you smoke?
yes no                            -Do you drink?
yes no                            -Do you have medical insurance?
yes no No Preference -Do you like pets?
yes no No Preference -Prefer children in your home stay?

Allergies?

Comments

The total cost to pay online will be 265.00 after the processing fee. We cannot guarantee that all of your housing preferences will be met, but our housing coordinator will use the information to help arrange a compatible placement. please read the waiver and release agreement documents to be fully aware of our policies and liabilities If you are arriving before 8:30AM or after 4:30 PM or on a Saturday or Sunday there is an extra $100.00 fee for pickup. Applications are processed on first come first serve basis. Please apply sixty days prior to arrival for timely placement, late applications are accepted with no guarantee of placement prior to arrival.

Please apply sixty days prior to arrival.

Please fill out and fax or email asap.

Home . Application . Fees . Release . Waiver