| Homestay
Application |
1. Family Name
|
2. Given Name
|
3. E-mail Address
|
4. Have you experienced a Homestay?
Yes
No |
|
5. Do you smoke?
No
Yes |
6. Do you like pets?
Yes
No
Not important |
7. Do you have any allergies?
No
Yes |
7.1.
If Yes, what kind?
|
8. What type of person are
you?
Friendly
Positive
Athletic
Shy
Musical
Artistic
Quiet
Talkative
Independent
Outgoing
Easygoing
Openminded |
9. What are some of your hobbies?
|
10. Please tell us about your
family
|
11. I would prefer my host
family to
Have young children
Have teenage children
Have no children
Have pets
Introduce me to family and friends
Be quiet
Be active
Give me privacy |
12. Do you have any food dislikes?
|
13. Do you have any special
health conditions?
No
Yes |
13.1.
If Yes, what are they?
|
14. Course starting date(month/day/year)
|
15. Course ending date(month/day/year)
|
16. Do you want information
on other accommodation ?
Yes
No |
|
|
