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YOU CAN LIVE WITH AN AMERICAN FAMILY ! Homestay Services International Information Sheet One of the best ways to learn about Americans and about American customs is to stay with an American family while here in Southern California. If you are interested in living with an American host family, read this page carefully, then tear off and return the application form below. Keep this top portion for your information.
Detach and retain --- --- --- --- --- --- --- --- --- --- --- --- --- --- --- --- --- --- --- --- --- --- --- --- --- --- --- --- --- Please return this portion HOMESTAY SERVICES INTERNATIONAL HOST FAMILY PLACEMENT APPLICATION Please print clearly Your Name ____________________________________________________ Date _____________ Country __________________________________________ Sex: M ( ) F ( ) Age _____________ Address in Home Country ________________________________________________________________ Tel: ______________________ Fax: _____________________ EMail: ____________________________ Arrival Information: Airline ___________________ Flight #_________ Date________ Time _________ (Unless otherwise notified, we will pick you up at the airport!!) Which school will you attend, if any? _______________________________________________________ Do you smoke? Yes ( ) No ( ) (please check one) If "yes", can you smoke outside? Yes ( ) No ( ) Can you live with a family that has a dog? Yes ( ) No ( ) Can you live with a family that has a cat? Yes ( ) No ( ) Can you live with a family that has small children (Under Age 10)? Yes ( ) No ( ) Who do you want food provided by? Your host family ( ) Yourself ( ) Which date will be your first day of the Homestay? ________________ Last Day of School? ______________ What form of transportation will you use? Car ( ) Public Transportation ( ) Other ( ) Other necessary information (Please let us know if you have any special requests, requirements or restrictions): ______________________________________________________________________________________ ______________________________________________________________________________________ |