Student Application
At Arizona Homestay, we do our best to make sure we match you with the best host home. It is very important that you include all the information below so that we can find the right host for you.  Please call us with any questions.We are happy to help. Application and Placement Fees : $395 College.  $520 High School/ Middle School
College student pricing for 4 weeks - $775 with meals.    $650 with no meals.      
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First *
Middle *
Family Name *
Email address   *
Gender *
Age *
Will you be attending: *
Required
Date of birth   *
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Have you been fully vaccinated for Covid-19? (This will not impact your application, this is for our information only) *
When do you want to start homestay?
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When will you leave homestay?
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Current address   *
With City - Country - State/Province
Nationality
Language spoken   *
Secondary language spoken  
Phone # *
(please make sure you have a local number in the US
Religion *
What college will you be attending?   *
When does your class session start? *
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What are you studying?  
How long will you need homestay? *
What is your student VISA # if you have it
Passport #  
What is your flight number?
Airline?
Flight arrival time
Date of Arrival? *
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Will you have a car while in the US? *
Why do you want homestay?   *
Parent or Agent names
Parents or Agent email  
please include contact email address
Parent or Agent phone  
Emergency Contact name and phone number   *
English level *
Interests and hobbies? *
Have you studied in the United States before? *
Have you been in Homestay before? *
Will you live in a home with small children?   *
Will you be needing meals during homestay?   *
Do you have a special diet/food requirements? *
Do you drink alcohol? *
Do you Smoke?   *
Many Americans to have pets. Can you live in a home with Cats or Dogs?   *
Describe your personality? *
 (Quiet, outgoing, social, serious)
What do you want your homestay family to know? *
What are the 2 most important things you want in homestay? *
Please list any dietary restrictions, allergies or medical problems you have. *
How did you hear about Arizona Homestay? *
How will you be paying for Homestay? Credit card, cash, bank transfer, etc.? *
Please read the Student Agreement below. By Signing this application below, you agree to the terms and guidelines of the Arizona Homestay Student Document included in this application.
I certify that the above information is correct to the best of my knowledge.  If provided information is shown to be incorrect, the application will be null and void and above applicant will not be able to stay with an Arizona Homestay host.  By signing the application electronically, I authorized Arizona Homestay to verify the above information.
Please type your name below as signature. *
Date *
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