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Student Information
COMPLETE NAME
PHONE NUMBER
EMAIL ADDRESS
GENDER
RELIGION
DATE OF BIRTH
Dietary Information
TYPE OF MEAL PLAN
TYPE OF DIET
DO YOU HAVE AN ALLERGY?
Other Information
Preferred In-House Language
Are you a smoker?
You are into cultural exchange?
Are you okay living with home pets?
Preferred staying solo or in a group?
Preferred a Bedroom with own Bathroom?
Preferred Length of Stay?
Name of the School
Address of the School
INCASE OF EMERGENCY:
Family Member's Name
Relationship
Contact Number
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