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Homestay Application

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Homestay Visitor Handbook


	Do you want to know more about local people, culture, life? Do you have to concentrate on your study or work? If so, Homestay is the best way to do it.

Homestay Visitor Application

Complete this form to request additional information.
A representative will contact you when your application is received.

Note: Fields marked with an * are required.

1. Please provide the following personal information:

* Name:
* Address 1:
Address 2:
* City:
* State:
* Zip:
* Country:
* Phone Number:
Fax:
* Email:
2. Please identify and describe yourself:
*Date of Birth:
*Gender:	Male Female
3. * Please indicate your English speaking ability:

4. * Please select the purpose of your trip to the US:

5. If you are traveling for education what is the name of the school you will be attending?

6. * Indicate the total number of weeks you will need housing:

7. * Enter the date of your arrival (to USA):

8.* Enter the time of your arrival (to USA):

9.* Enter your arrival Airline Name:

10.*Enter your arrival flight number:

11. * Select the Name of the Airport that you will arrive at:

12. * Do you need to be picked up at the airport when you arrive in New York?
	Yes No
13. * Enter the expected date of your departure (from USA):

14. * Choose the type of accommodation that you prefer:
	Host Family/Homestay Bed and Breakfast Executive Bed and Breakfast Apartment YMCA
15. * Would you accept a host with children under the age of 6?
	Yes No
16. * Would you be comfortable in a home with indoor pets?
	Yes No
17. * Do you smoke?
	Yes No Sometimes
18. * Please list any allergies, health problems or foods that you can not eat.

19.* Please indicate a few of your hobbies or special interests.

20. Please provide any additional details about yourself or your trip.

21. How did you hear about New York Accommodations Centre?