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SKYUS Homestay Application Form
Please enable JavaScript in your browser to complete this form.
Please enable JavaScript in your browser to complete this form.
Main Host’s Information
Your name
*
First
Last
Gender
Date of Birth
*
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Occupation
*
Work Hours
Cell phone
*
Emergency Phone number
*
Email address
*
Spouse or partner’s name
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Last
Gender
Date of Birth
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Occupation
Relationship
Work Hours
Cell phone
Email address
Address
*
Address Line 1
Address Line 2
City
--- Select state ---
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
Family member’s Information
Other family members (currently at home). Please list all family members staying at your house including roommate, tenant, temporary guest
Name #1
First
Last
Gender #1
Relationship #1
Date of Birth #1
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Occupation #1
Name #2
First
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Gender #2
Relationship #2
Date of Birth #2
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Occupation #2
Name #3
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Gender #3
Relationship #3
Date of Birth #3
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Occupation #3
Name #4
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Relationship #4
Date of Birth #4
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Occupation #4
Pets at home
Please list all your pets including small animals
Pets at home
*
Yes
No
Pet #1
Inside or Outside #1
Inside
Outside
Pet #2
Inside or Outside #2
Inside
Outside
Pet #3
Inside or Outside #3
Inside
Outside
Tell us more about your family
Interest and hobbies
*
Allergies and health conditions
Eating habits/ special diet
Religious affiliation and / or practices
Tell us about your house
Accommodation Type
*
House
Condo
Apartment
Townhouse
Other
Accommodation Type Other
Available laundry facility (Mandatory)
*
Yes
No
Available Wi-Fi at home (Mandatory)
*
Yes
No
How many rooms are available for international student(s)?
*
Single room (one bed in private room)
Single room with private bathroom or Double room ( two beds in private room)
Triple room ( three beds in private room)
Please upload a room photo.
Click or drag files to this area to upload.
You can upload up to 3 files.
Is smoking permitted in the home?
*
Yes
No
Outside only
What’s the nearest public transportation cross street name or transit station name?
*
What’s the nearest shopping mall / plaza?
*
What’s the nearest grocery store?
*
What’s the nearest school?
*
Your Preference
Student(s)’s age group
*
13- 18
18+
No preference
Student(s)’s gender
*
Male only
Female only
No preference
Student(s)’s personality
*
Students(s)’s Interest
*
Transportation
Can you provide daily transportation if needed?
*
Yes
No
Depends on the case
For a short-term minor group, we require host families to provide daily transportation to the designated meeting spot.
How many cars in your household?
*
1
2
3
more
Vehicle #1 Make
Vehicle #1 Model
Vehicle #1 Year
Vehicle #2 Make
Vehicle #2 Model
Vehicle #2 Year
Vehicle #3 Make
Vehicle #3 Model
Vehicle #3 Year
How did you hear about us?
Referral
Online
Website/ Instagram
Others
If a referral, please provide the name.
They will receive a $25 Gift Card once the 1st placement is completed
SKYUS crew will conduct a mandatory house inspection after we receive an application form. When would be the best time for an inspection?
Mon
Tue
Wed
Thur
Fri
Skyus crew will conduct a mandatory house inspection after we receive an application form. When would be the best time for an inspection? #time
10am-12pm
12pm-2pm
2pm-5pm
Check here to read and accept our SKYUS requirements and expectations for host families
*
Agree
Online SKYUS requirments and expectations
Check here to read and accept our SKYUS photography, Video, Likeness, and Work Release
*
Agree
SKYUS Photography Waiver
Check here if you agree to the background check including all family members who are 18 years old and above and living in the home. The consumer reporting agency is Intelius Inc. and/ or Peoplefinders. The cost is paid by SKYUS.
*
Agree
Comment
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Home
About SKYUS
Brand Concept
Brand Logo
Office
Program
Study Tour Program
Study Abroad Programs
Internship Program
Other Services
Company
News, Blog
Contact
日本語