First Name * :
Last Name * :
Email * :
Address * :
City * :
Country * :
Phone * :
Cell Phone *:
Best time to contact you:
Host's Marital Status:
Name, Gender, Age, Relationship to you, Occupation, Interests & Hobbies, Languages Spoken
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:
Items available for student use:
How many guests at one time?
Do you ONLY accept guests certain countries?
Are there countries you would NOT accept guests from?
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:
Please tell us more about your household, hobbies and lifestyle: