Hawaii Homestay Program for International Students 
It's Time Corporation will assist you to find your sweet home.
The best match to your second home.
Sign in to Google to save your progress. Learn more
1. 學生姓名 Student Name
2. 國籍 Nationality
3. 就讀學校與年級 School name and the grade
4.電話 Phone number
5. 電子郵箱 Email Address
6. 需要餐食 Meals you need
7. 需要交通接送 Pick-Up Need
Clear selection
8. 抵達日期 Arrival Date
MM
/
DD
/
YYYY
9. 停留期間Length of Stay
10. 總共人數Number of Guests
11.  飲食注意事項  Any Special Requests or Dietary Restrictions:
12. 緊急聯絡人關係/姓名與電話 Emergency Contact Name and Phone Number
13. 是否有過敏或任何健康情況我們需要留意的

Do you have any allergies or medical conditions we should be aware of?

14. 請提供您的理想預算 Ideal Budget
Submit
Clear form
Never submit passwords through Google Forms.
GoogleForms
This content is neither created nor endorsed by Google.