OvECS Ltd. - AZ Homestay

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The number of host families are limited, so please apply as early as possible.

A NON-REFUNDABLE check or money order payable to OvECS to cover placement and processing fees must be sent with 2 passport size photos after completing this online application (See fees & costs)

A REFUND CAN NOT BE MADE ONCE WE BEGIN THE APPLICATION PROCESS, however, if a suitable host cannot be found, your placement and processing fees will be completely refunded to you.

Fields marked with an * are required

PERSONAL INFORMATION

*When will you start school? *Name of School:

*Family Name: *First: Middle:

*Present Address: *City

*State / Province / Prefecture: *Zip / Postal Code

*Country: *Nationality:

*Phone: E-mail (Fax):

*Sex: Male Female No Answer *Date of Birth (MM/DD/YYYY):

*Religion:

S C H O O L

*Last school attended or school you are currently attending:

*Degree or Diploma earned and Field of Study:

*Are you currently a student? Yes No No Answer

*Occupation:

FAMILY INFORMATION

*Parents Address: *City:

*State / Province / Prefecture: *Zip / Postal Code

*Country: *Phone: E-mail (Fax):

*Father's Name: *Occupation:

*Mother's Name: *Occupation:

Brothers and Sisters:

1. Name: Age: Sex: Male Female
2. Name: Age: Sex: Male Female
3. Name: Age: Sex: Male Female
4. Name: Age: Sex: Male Female
5. Name: Age: Sex: Male Female
6. Name: Age: Sex: Male Female

GENERAL INFORMATION

*How did you learn about OvECS homestay program?

*How long do you plan to stay with the host family?

*What will you study in the States, and for how long?

*Entry Level:
ESL 2 year college Bachelor Master Ph.D. Other No Answer

*Interest / Hobbies / Sports:

*Previous trips abroad:

*Have you participated in a homestay program before?
No Yes No Answer

*Personality: Outgoing Shy Independent Quiet Energetic
Sociable Optimistic Cheerful Tidy Serious Talkative
Modest Adventurous Affectionate Curious Other

*Do you smoke?
Yes No No Answer

*Do you drink alcohol?
Daily Sometimes Rarely Never No Answer

*Is it OK for family to have pets?
(Dog) Yes No No Answer (Cat) Yes No No Answer

*Will you have a car in the U.S.?
Yes No No Answer

*Will you have a student visa?
Yes No No Answer

*What do you hope to learn from your homestay?

*Please write us something about yourself.

*Name any medications you must take regularly?

*Please list any allergies (food, animal, plant), health problems or any dietary restrictions:

*If available, list the name of a local person to contact in case of emergency:
*First Name: *Last Name :

*Address :

*Phone:

By typing your name into the box below, you are signing this application and authorize OvECS to process and research all information provided.
*Signature: (Type Full Name)