Application for Homestay
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How to Apply
Please answer all required fields (marked with
*
) then press "Submit Application" button.
First Name:
*
Last Name:
*
Where did you hear about us?
choose...
Internet - Search Engine
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Please explain,
Gender:
Female
Male
*
Nationality:
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Vanuatu
Venezuela
Viet Nam
Virgin Island
Wallis and Futuna Islands
Western Sahara
Yemen
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Other
*
Level of English Competency:
Low
 
Medium
High
Date of Birth:
/
/
(month/day/year)
*
Telephone:
Country-Area-Number
*
Fax:
Country-Area-Number
E-mail:
*
Permanent Address: Street:
*
City:
*
State or Province:
Postal/Zip Code:
Country:
choose...
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua
Antilles
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei
Bulgaria
Burkina Fas
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central Africa
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Island
Costa Rica
Cote D'Ivoir
Croatia
Cuba
Cyprus
Czech Republic
Czechoslovakia
Denmark
Djibouti
Dominica
Dominican Republic
East Timor
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
Former USSR
France
France (European Territory)
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibralter
Greece
Greenland
Grenada
Guadaloupe
Guam
Guatemala
Guiana
Guinea
Guinea Bissau
Guyana
Haiti
Heard and McDonald Islands
Holy See (Vatican city state)
Hondoras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jordan
Kazakhstan
Kenya
Kiribati
Korea
Kuwait
Kyrgyzstan
Lao
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenste
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshal Isl
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
Neutral Zone
New Caledon
New Guinea
New Zeland
Nicaragua
Niger
Nigeria
Niue
Norfolk Islands
North Korea
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Panama
Paraguay
Peru
Peuerto Rico
Philippines
Pitcairn Island
Poland
Polynesia
Portugal
Qatar
Reunion (French)
Romania
Russia
Rwanda
S. Georgia & S. Sandwich Isls.
Saint Kitts & Nevis Anguilla
Saint Lucia
Saint Pierre and Miquelon
Saint Tome (Sao Tome) and Principe
Saint Vincent & Grenadines
Samoa
San Marino
Saudi Arabia
Senegal
Seychelles
Sierra Leona
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
Spain
Sri Lanka
St. Helena
Sudan
Suriname
Svalbard and Jan Mayen Islands
Swaziland
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Togo
Tokelau
Tonga
Trinidad
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
USA Minor Outlying Islands
Uzbekistan
Vanuatu
Venezuela
Viet Nam
Virgin Island
Wallis and Futuna Islands
Western Sahara
Yemen
Yugoslavia
Zaire
Zambia
Zimbabwe
Other
*
Check-in Date:
/
/
*
(Month/Day/Year)
IMPORTANT:
* We encourage you to Check in and check out on a Saturday or Sunday. There is a $50 surcharge for weekday arrivals.
Check-out Date:
/
/
*
(Month/Day/Year)
* Check out must be at least 1 week after check in.
Flight Information:
Arrival Date:
/
/
Time:
Airport:  
Choose...
San Francisco
San Jose
Oakland
Sacramento
Don't Know
Other
Flight Airline and #:
Purpose of Visit:
Educational
Internship  
Other
what school or business:
*
Do you smoke?
No
Yes
*
Are pets ok in the home?
Yes
No
*
Are children ok in the home?
Yes
No
*
Do you have any food, pet or other allergies?:
No
Yes
*
If yes, please explain:
Location:
Choose...
San Francisco
Berkeley/East Bay
Silicon Valley
Los Angeles
Orange County
San Diego
New York
Boston
Houston
Don't Know
Will you have a car?:
No
Yes
*
Do you have an international drivers license?:
No
Yes
*
Is there anything else
you would like us to know?:
Accommodation Preferences:
Prices per week.
Bed and Breakfast
(with continental breakfast)
Full Homestay
(with continental breakfast & dinner)
Economy
(shared room, shared bath)
$205.00
$235.00
Standard
(private room, shared bath)
$256.00
$287.00
(Most Popular)
Executive
(private room, private bath)
$339.00
$399.00
* These prices are based on our standard rates and do not include any special discounts.
* Executive pricing may vary +/- 10% depending on the actual accommodations.
* There is a premium of $80/week for stays of 2 weeks or less.
* There is a 12% premium on the first 2 weeks of stay if booked less than 4 weeks in advance.
* There is a $50 premium for weekday arrivals.
A placement fee is required for us to process your application.
The standard placement fee, excluding any applicable discount, is: $235
View our complete
Payment & Refund Policy
Offer Code:
What is an Offer Code?
Means of payment for placement fee:
VISA
 
Master Card
Wire (additional fees may apply)
Card Number:
*
Prefer to fax your credit card information?
Expiration Date:
/
(MM / YY)
*
"I understand by submitting this application my credit card will be charged the non refundable placement fee if a suitable host is found for me"
Experiencing difficulties with your application? Contact us at
questions@sfhomestay.com
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