Homestay Host - UH Homestay Aloha Program
Thank you for your interest in becoming a Homestay Host! Please provide us with the following information:
Email Address *
Your answer
First Name *
Your answer
Last Name *
Your answer
Address *
Your answer
City *
Your answer
State *
Your answer
Zip code *
Your answer
Island *
Phone *
Your answer
Preferred Method of Contact *
Housing Availability Start Date: *
MM
/
DD
/
YYYY
Availability End Date: *
MM
/
DD
/
YYYY
Current Employer *
Your answer
Current Employer Phone *
Your answer
Reference Name (Professional or Personal) *
Your answer
Reference Relationship *
Your answer
Reference Phone *
Your answer
Reference Address *
Your answer
Type of Housing being provided *
Check all that apply (if any) to the home, facility, or apartment being offered *
Required
How did you hear about us? *
Your answer
Additional Comments/Conditions/Amenities
Your answer
Submit
Never submit passwords through Google Forms.
This form was created inside of University of Hawaii. Report Abuse - Terms of Service