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Application - Intercultural Homestays

Fill out the online application below and hit "Submit", then pay the Homstay application fee.

male female

Month:  Day:  Year:

You must be at least 18 years old to begin classes at ALPS.

Part 2 of 3: Family Information

Brothers & Sisters

Male Female

Male Female

Male Female

Male Female

Male Female

Part 3 of 3: Questionnaire

Is this your first trip abroad? (Please explain)

Yes No

Yes No

Yes No

Note: Airport service is not available on the following holiday dates or between the hours of 8:00 p.m. - 6:00 a.m.

2018 - January 1; February 17, 18, 19; April 1; May 13, 26, 27, 28; June 17; July 4, September 1, 2, 3; October 8; November 10, 11, 12, 22; December 24, 25, 31

*All weekend and evening arrivals will incur a $100 fee in addition to the placement fee.

Yes No

(car insurance is mandatory in Washington State.)

Medical insurance is required for all students using an F-1 student visa.

Yes No, I will use the insurance provided by ALPS.

Yes No

(This question is asked solely to determine your opinion. It in no way implies that you will be expected to babysit.)

Yes No

(It may not be possible to place you in a pet free home because most Americans have pets.)

Yes No

(Most Americans do not allow smoking in their homes, so you may be asked to smoke outside only.)

Yes No

Yes No

(A program of study or work can be both physically and emotionally stressful. Should an emergency arise while you are overseas, it is important that Intercultural Homestays and Services, be aware of any past or potential medical conditions that you may have. A frank evaluation of your health is essential to your safety)

Do you have any physical or mental disabilities (e.g. allergies to food or pets, special dietary needs, physical restrictions, etc.)

Are there any foods you do not eat? (If yes explain)

Do you have any religious restrictions?(If yes explain)

Explain what you expect of your homestay:

What would you like your new host to know about you?

Which of the following best describes you, in terms of being placed in a foreign household?

Independent of home and family life Adventurous
Quiet and Reflective Outgoing and Sociable

What are your hobbies?

What are your favorite sports?

Instructions: Please answer all questions and press the Submit Application button below.

We cannot guarantee that all of your housing preferences will be met, but our housing coordinator will use the information to help arrange a compatible placement.

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