Guest Application    
       
Homestay location * (1)
Homestay Country *
Select the destination
country. It is the country
where you need homestay.
School address * (2)
Will you commute to school or workplace?
We need to know if you will attend
school or college at the homestay
destination. This way, we can plan
to make your daily commute easier
if it is all possible.
School/Establishment
Name of school, college, university, or organization that you will attend or commute to every day after you start your homestay.
Street address
Country
State/Province
City/Town
Postal Code
Zip or Postal code of you school college or university
Start Date
 mm/dd/yyyy
Homestay request * (3)
Start Date
 mm/dd/yyyy
Select start date that you wish to
start or move into a homestay.
Note: it must be at least three days
from today. Maximum start date a year from today's date.
End Date
 mm/dd/yyyy
Select homestay end date that
you wish to move out of the homestay.
Note: Minimum end date is ten days in the future. Maximum is two years from start date.
Reason for visit
In couple of words, tell us the
reason why you want to stay
in a homestay
Preferred Meals
Select meal plan that you
wish to get during your stay.
Note: Breakfast or lunch
meals are usually self-service.
Average Homestay Rates
Here is a link to help you research the average
monthly homestay rate by city in order to be able to
set your budget to get successful homestay offers.
Search Average Rates by City!
Average monthly homestay rates
are based on all current data of
homestay pricing by city. It is
useful to determine your budget
or asking price.
$ Monthly Budget
The budget should be a
reasonable figure, so
the success of your
homestay placement will
depend on this figure.
If you are staying less
than a month, we recommend
that you increase your
monthly budget by a minimum
of 25%. Your budget will be
prorated to daily or weekly.
Do you have a special diet?
Do you have any special diet?
i.e. veterinarian, no dairy, don't eat fish,
etc...
Do you have a special request?
Request like host ID number
or else
Referred by
How did you learn about us?
Homestay applicant* (4)
Applicant First Name *
Family Name *
Gender *
Age *
Required for host family to evaluate
the care and involvement needed
to host you.
Citizen of *
Are okay with pets?
Select no to pet type that you cannot
live with or tolerate for any reason.
Remember most hosts have pets so choose
carefully in order to find a suitable
homestay.
Do you smoke?
No smoking is allowed majority of
western homes and residences.
Some hosts offer designated outdoor
areas to smoke. Select smoke outside
if you need to smoke.
What is your English level?
Tell us about your spoken English level.
i.e. Beginner, Intermediate, or Advanced
Do you have any allergies?
Like food allergies or else!
Do you have a health condition?
Health condition like diagnosed
physical or psychological
that host should be aware off
Your Hobbies
What are you hobbies?
Example: Soccer, Reading,
Movies, Games, ...
Contact person* (5)
Who is the contact person for the applicant? *
Who are you?
Email *
 Email
The coordinator and host family will
use your email to contact you.
Confirm Email *
 Email
Type your email address
again to confirm your correct
email address. Please DO
NOT copy and paste for
better result.
Mobile Number
type your mobile number
including country code and
area code
Home Phone
type your home number including
country code and area code
Skype/WeChat
Applicant photo* (6)
Guest / Personal Photo
 
Select File...
Drag an image here
A photo to introduce you to hosts.
Having trouble with uploading a
your image file, check Image Tool
at the bottom of this form
Home address* (7)
Home Address *
City / Town *
type your city or town name
State / Province *
type your state or province
Country *
Postal Code
your zip or postal code
Emergency contact
Emergency Contact
Some whom the agency or host family
can contact in case that you are hurt
or in need of help.
Relationship
Emergency Email
 Email
The email of your homestay companion
Emergency Mobile
Emergency Phone
Sharing companion (8)
Companion / Roommate
Will you have anyone coming
to stay with you at the homestay?
Select Yes, if you want them to be
accommodated with you. If you
select No, leave this companion
fields blank or empty
Arrival date (9)
Arrival Date
 mm/dd/yyyy
Arrival date to your destination city
if this information is available by now
You can always add this info later or
notify the your coordinator and your host
Arrival Time
 hh:mm
Time of arrival if you know by now.
You can add arrival information later.
Agreement* (10)
Disclaimer
We/I, (the applicant, participant, registrant, student, guest, agent, parent, guardian and representative), understand and acknowledge all possible risks related to participating in a homestay program and staying in someone's home. We agree to release and hold IHA International Homestay Agency (the agency), its entities, employees, agents, shareholders, partners, subsidiaries, and representatives harmless, in part or whole, from all liabilities, damage, injury and loss claims. To select and book a homestay, I/We agree to pay $200 application fee, minimum ten percent advance payment, and booking service charge upon finalizing a successful homestay booking. During my stay, I/We also accept and agree to pay the balance of the homestay to host family directly in equal and easy number of installments every four weeks after arrival.
Disclaimer *
To proceed, you must mark this yes to
indicate that you read the disclaimer,
terms, and conditions.
* Required field(s)
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