Skip to content
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
Host Application Form
Please enable JavaScript in your browser to complete this form.
Please enable JavaScript in your browser to complete this form.
Your Information
School Name
*
Host student name
*
Age
*
Grade
*
Japanese Level
*
Gender
*
Male
Female
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
Phone
Your Cell#
*
Family's Cell#1
*
Family's Cell#2
*
Email
Your Email
*
Family Member's Email
*
Family Member Relationship
*
Family members currently living at home
Parent / Guardian 1 Relationship
Parent / Guardian 1 Name
Parent / Guardian 2 Relationship
Parent / Guardian 2 Name
Other family members 1 Relationship
Other family members 1 Name
Other family members 1 Born year
Other family members 2 Relationship
Other family members 2 Name
Other family members 2 Born year
Other family members 3 Relationship
Other family members 3 Name
Other family members 3 Born year
List other family members at home and any visitor during the program
Do you have any pets?
*
Yes
No
Pet 1
Pet 1 Place
Inside
Outside
Pet 2
Pet 2 Place
Inside
Outside
Pet 3
Pet 3 Place
Inside
Outside
Family Interests and hobbies
*
Host students' interest and hobbies
*
Allergies and diet
Spoken language in addition to English
Who is driving to/from school?
Do you have any after school activities?
How can you accommodate the exchange student(s)?
e.g. 1 student in a private room / 1 student sharing a room with a same gender family member/ 2 students in a shared room / 2 students in private rooms
Preference on the exchange student(s)' gender?
We generally send you a check for the food stipend. What name would you like us to write the check out to ?
*
Special requests and notes
Message to the exchange student you would host
*
Class Schedule
Period 1 : class name
Period 1 : class room #
Period 1 : teacher name
Period 2 : class name
Period 2 : class room #
Period 2 : teacher name
Period 3 : class name
Period 3 : class room #
Period 3 : teacher name
Period 4 : class name
Period 4 : class room #
Period 4 : teacher name
Period 5 : class name
Period 5 : class room #
Period 5 : teacher name
Period 6 : class name
Period 6 : class room #
Period 6 : teacher name
List Period 0, Period 7 or other arrangements
Comment
Submit
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
