Host Family Matching Form
We use this form to match you to a Japanese host family. Please be honest, especially about your smoking and food preferences. We will be able to match you to a host family better if we understand your preferences and character. While we do make every effort to accommodate your preferences, please understand we cannot guarantee we will be able to do so in all cases.

Once you have been matched to a host family, we will provide your host family with the information submitted through this form, in addition to your contact details. Likewise, you will receive information about your host family, a letter from your host family, and a family picture before you come to Japan.

About You
1.1 Last Name
As shown on your passport.
Your answer
1.2 First Name
As shown on your passport.
Your answer
1.3 Middle Name(s)
As shown on your passport. If you have no middle name, please write "none".
Your answer
2. Native language(s)
Your answer
3. Height
Some host families have only small beds. Please write your height in centimeters.
Your answer
4. Can you ride a bicycle?
Some host families may provide students with a bicycle.
5.1 Have you ever been to Japan?
5.2 If yes, when and for how long?
Your answer
6.1 Have you ever lived with a host family?
6.2 If yes, please tell us about your experience.
Your answer
7. Please tell us something about your character.
Your answer
8. Please write what you hope to gain from living with a host family.
Your answer
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