Host Family Application

Please complete this form if you are interested in hosting an international student in your home.

All fields marked with an (*) are required.

General Information
First Name *
Last Name *
Address1 *
Address2
City *
State *
Zip Code *
Nearest Public Transportation *
Daytime Phone *
Evening Phone
Email Address *
I am 18 years old or older: Yes No
I am interested in a student from:
I am interested in hosting a:
Accommodations
Property Type : Apartment House
Property Location(s) *
Bedrooms *
Bathrroms *
Amenities:
 

Furnished
Doorman
Fireplace
Air Conditioning
Washer/Dryer in Unit
Dishwasher
Eat-in Kitchen or Dining Room
Balcony,Deck,Patio or Porch
Yard
Clubhouse
Laundry On-Site
Health Facilities
Internet Access
Swimming Pool
Storage
New Properties
Parking
Elevator
Wheelchair
Sauna
Other Amenities
Pets Allowed: Cats Small Dogs All Dogs
Other Pets
Other Information
Your local coordinator (if any) who indicated our services to you.
I am applying to be a Local Coordinator for Just Homestay
Have you hosted for another exchange organization? Yes No
If yes, what organization?
Comments
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