Name of host (Main contact person)*
Occupation*
Name of spouse
Phone numbers of host:
Phone Home (with country and area code)*
Phone Work (with country and area code)
Phone Cell (with country and area code)*
Phone numbers of spouse:
Phone Cell (with country and area code)
Your Email (Please provide only one e-mail address)
Home Address*
Mailing address (if different from above)
Number of children* 012345677+
Main language spoken at home*
If any, other languages spoken by the household at home on a regular basis
Highlights about the family (Hobbies, interests, etc.)
Number of years of experience in hosting students* 12345677+
Preferred student gender malefemaleboth
Do you have any pets?* * yesno
Do you offer roomstay (no-meals), as well?* yesno
Transportation:
From house to downtown (how)*
From downtown to house (how)*
Time it takes between house and downtown*
House
Number of levels* 12345677+ Number of bedrooms* 12345677+ Number of bathrooms* 12345677+ Number of kitchens* 12345677+ Garden* yesno Number of bedrooms for student use* 12345677+ Number of bathrooms for student use* 12345677+ Internet* yesno TV in student rooms* yesno
I hereby confirm that I am the host, I have filled out the form myself, and all the information I have given in this form is true.