SKYUS Homestay Application Form

Main Host’s Information

Your name *

First

Last

Gender

Date of Birth *

Occupation *

Work Hours

Cell phone *

Emergency Phone number *

Email address *

Spouse or partner’s name

First

Last

Gender

Date of Birth

Occupation

Relationship

Work Hours

Cell phone

Email address

Address *

Address Line 1

Address Line 2

City

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

Occupation #1

Name #2

First

Last

Gender #2

Relationship #2

Date of Birth #2

Occupation #2

Name #3

First

Last

Gender #3

Relationship #3

Date of Birth #3

Occupation #3

Name #4

First

Last

Gender #4

Relationship #4

Date of Birth #4

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 *

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?

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

SKYUS Homestay Application Form

Main Host’s Information

Family member’s Information

Pets at home

Tell us more about your family

Tell us about your house

Your Preference

Transportation

Directly Managed Offices

Affiliated
Offices