Would you like to host a student?
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Would you like to host a student?

HomeReservations & Deposit → Would you like to host a student?

If you would like to become a host for foreign guests and students, please complete the application below. Once you submit your information, we will review it. We usually respond promptly and will contact you to schedule an on-site visit.
The on-site visit gives usc a chance to meet you in person and to get to know you better.
During our visit, we will also take the opportunity to discuss in greater detail our guidelines, booking procedures and payment terms.
The more information you can provide us by filling out this form, the better we will be able to evaluate you as a potential host for the Breezeway.

Personal Information

First Name * :
Last Name * :
Sex:
Email * :
Address * :
Address 2:
City * :
State:
Country * :
Zip:
Phone * :
Cell Phone *:
Work Phone:
Fax:
Best time to contact you:
Host's Marital Status:
Host's Employer:
Host's Occupation:

Family Information

Name, Gender, Age, Relationship to you, Occupation, Interests & Hobbies, Languages Spoken

Host Information

Name of Neighborhood:
Between cross streets of:
Nearest Public Transportation:
Approx. size of home:
Number of bedrooms:
Number of bedrooms for students:
Number of bathrooms:
Number of bathrooms for students:
Bed Size:
Internet connection?












Items available for student use:













Student preferences

Sex:


How many guests at one time?
Do you ONLY accept guests certain countries?
Are there countries you would NOT accept guests from?







Other Information

What kind of dwelling do you live in (Apartment, House, etc)?






What is your mother tongue?
Do you speak other languages fluently? If so which languages:
Education:
Credential:
Experience:
Please tell us more about your household, hobbies and lifestyle:


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