Homestay

What’s Included:

-Pre-screened local Host Family selected based on your preferences
-All meals provided
-WIFI, TV & other home amenities
-Private bedroom

Transportation to/from campus available

*30 Day Notice Required*

Required $350 matching fee billed separately after profile is submitted.  Placement can take (up to) 30 days to find a suitable host family.  $750 Matching fee required within 30 days of start date

Complete STUDENT PROFILE below to get started:

What is your relationship to the Student? *Native parentAuthorized agentSchool officialOther

Student Name *

First

Last

Preferred Name

American name or other name you would prefer us to use.

Student Phone Number *

Student Email *

Student Country of Origin *

For example - Canada.

Educational Institution

Full address of Educational Institution

Step 1. Basic Information

Student Gender *MaleFemaleNon-binaryOther

Please select

Optional Information

Student Pronoun *She/HerHe/HimThey/ThemOther

Other Pronoun

Student Date of Birth *

Passport Country of Issue *

Student Nationality *

Start Date of Placement *

End Date of Placement *

Student grade level during homestay *

Student age during homestay *

Step 2. Home Preferences

What type of Room is the Student looking for? *PrivateSharedNo preference

Does the Student have dietary requirements? *

• Halal
• Vegetarian
• Vegan
• Kosher
• Gluten Free
• None
• Other

Are there any foods the Student does not eat?

Is the Student willing to live with Pets? *YesNo

Are there any pets the Student would NOT live with? *

• Dog
• Cat
• None
• Other

Is the Student willing to live with children under the age of 8? *YesNo

Is the Student willing to live with children of any gender? *YesNo

Does the Student have any medial conditions (allergies, disabilities, special needs)? If so, please explain.

Does the Student have any other specific requirements for your home or room that we should be aware of?

Step 3. About You/Lifestyle

What is the Student's level of conversational English? *BeginnerIntermedidateAdvanced

Is the Student willing to live with others who smoke? *YesNo

Is the Student comfortable living with adults or hosts who may occasionally drink alcohol? *YesNo

Please list some of the Student's hobbies and/or interests

How would you describe the Student's personality (choose all that apply) *

• Shy
• Outgoing
• Friendly
• Quiet
• Patient
• Kind
• Active
• other

Spirituality / Religion

Please choose which best describes the type of relationship the Student would want to have with the host *Full interactionOccasional interactionOccasional activitiesDinner interactionOccasional interactionNo interaction

Tell us a little more about your student... *

This should describe your student, as well as their interests, likes/dislikes and anything else that will help us match them with a great host! This will be shown to host families when they receive the profile.

Step 4. Emergency contacts

Parent / Guardian full Name *

First

Last

Parent / Guardian Phone Number *

Parent / Guardian Email Address *

Relationship to Student *

Is the Student in need of transportation? *

• Yes
• No

Does the Student need transportation to the host family? *

• Yes
• No

If Yes, please list pickup address and time

Does the student need return transportation? *

• Yes
• No

If yes, please list return address and desired drop-off time

Does the Student have transportation needs during their homestay?

You're Almost Done!

Hosts love to see a few photos of the student who will be living with them. Only two photos are required, but we encourage you to provide additional photos.

Personal Photo(s)

Click or drag files to this area to upload. You can upload up to 7 files.

Family Photo(s)

Click or drag files to this area to upload. You can upload up to 7 files.

Other Photo(s)

Click or drag files to this area to upload. You can upload up to 3 files.

Step 5. Consent

Please check the consent box below to complete you profile.

Agree *

• I give Student Health Advocates permission to share my profile and photos with host families in the requested area.

Submit

Questions?  Contact Us