Student Homestay Application

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 complete 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.

When will you be starting school? Name of School

Family Name: First Name: Middle name:

Present Address: City:

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

Phone: E-mail (Fax): Nationality:

Date of Birth:(month) (day) (year) Male: Female: Religion:

Last School attended or School you are currently attending:

Degree or Deploma earned & Field of Study:

Are you a currently a student? Yes: No: (occupation)

Parent’s 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: Male: Female: 4. Name: Age: Male: Female:

2.Name: Age: Male: Female: 5. Name: Age: Male: Female:

3.Name: Age: Male: Female: 6. Name: Age: Male: Female:

How did you learn about OvECS homestay program?

How long do you plan to stay with hostfamily?

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

Entry Level: ESL 2 year college Bachelor Master Ph.D. other

Interests/Hobbies/Sports: Can you swim? Yes: No:

Previous Trips Abroad:

Have you participated in a Homestay program before? Yes: (describe) No:

Personality : Outgoing: Shy: Independent: Quiet: Energetic: Sociable:

Optimistic: Cheerful: Tidy: Serious: Talkative: Modest:

Adventurous: Affectionate: Curious: Others:

Do you smoke? Yes: No: Do you drink alcohol? Daily: Sometimes: Rarely: Never:

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: Will you have a student visa? Yes: No:

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:

His / Her Address: Phone:

By signing your name below, you attest that all the information above is true and accurate to the best of your knowledge.

Signature of Applicant Date / /

Signature of Parents(if applicant is under 18)