Application

Application

*First Name

*Last Name

*Middle Name

Chinese Name

*Gender

*Birthday

Religion

*Nationality

*Phone

*Email

*Confirm Email

*Choose your option…

All-Inclusive Homestay
Teach-to-Live Homestay
Family/Group Homestay
Apartment Rental

*Which city are you interested in?

*What dates will you be staying with us?

From Date:
To Date:

*Is English your native language?

Yes No

*Specify

What’s your level of Chinese?

Are you interested in Volunteering?

Yes No

*Do you smoke?

Yes No

*Do you drink?

Yes No

*Do you mind a family
with children?

Yes No

*Do you mind a family
with pets?

Yes No

*Please list any allergies, medical conditions, or special needs you might have…

*How’d you hear about us?