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 an available 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

*Many American Families have pets. Can you live with a Host Family that has Dogs or Cats??
(Dog) Yes No (Cat) Yes No

*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 attest that all the information above is true and accurate to the best of your knowledge. You also acknowledge that you are electronically signing this application and authorize OvECS to process and research all information provided.
*Signature: (Type Full Name)