Start Homestay date (MM/DD/YYYY):
End Homestay date (MM/DD/YYYY):
Can you live with children?
Do you have a special diet?
Do you have any allergies?
Any special homestay requests?
Date of Birth (MM/DD/YYYY):
Arrival Date in US (MM/DD/YYYY):
Do you need transportation from the airport?
CCV (3 digit number on back):
Expiration Date (MM/YYYY):
Billing State / Province:
Emergency Contact Information
Your credit card will be immediately charged the application fee and security deposit for your homestay reservation, plus a 3.75% convenience fee.
I have read and agree to all the Terms and Conditions.
Please click here to read our Terms and Conditions before you submit your application for processing
By clicking here, you agree to our Terms and Conditions as set forth. If you're an agent representing a student, you agree to inform the student of our Terms and Conditions when submitting their application for processing on their behalf.: