2017 HAJAS Homestay Application
Please select the homestay period you would like.
Name
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Email
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Full Address
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Phone number (Please list preferred number first, followed by alternatives if you'd like.)
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Emergency Contact Information-Please list name, phone number, and relation of someone we can contact if we can't get a hold of you.
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Adult Family Information-Please list the names, ages, professions, and hobbies of everyone 18 years old and older in your household.
Your answer
Children Family Information-Please list the names, ages, school, grade, and hobbies of everyone under 18 years old in your household.
Your answer
Please list the names, ages, and hobbies of any other children not living with you.
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Please list any pets you have.
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Does anyone in your household use tobacco products?
Please write about any other interesting facts about your family.
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