Terms of Homestay : Estimated $2250.00 for a five-month stay with an American Host Family.This includes: Single room, single shared bathroom, access to kitchen facilities.This does not include meals.The student is responsible for preparation of his or her own meals.Payment of the entire $2250.00 is made immediately upon moving into home.There is normally no refund of fees once the Homestay has begun except if the Host Family has to terminated participation.In such cases, fees will be reibursed on a prorated basis.We asked that the student plan on staying for the whole semester and give the proper 30 days notice before leaving.After the first five-month homestay period students wishing to continue their homestay may pay at the monthly rate agreed upon with host family.

PLEASE FILL OUT ALL FIELDS.

First/Given Name:
Last/Family Name:
Address if you are in the US:
City:
State/Province:
Postal Code:
Telephone:
E-mail:
Date of Birth:    
Nationality:
Gender: Male        Female
Hobies:
Favorite Sports:
Do you drink alcoholic bevarages:
Do you smoke:
Are you comfortable with a family that does drink alcohol or smoke:
Do you own or plan to purchase an automobile during your home stay:
Home Country Address:
Language Spoken:
When do you plan to begin your homestay:    

When do you plan to begin your program of study?

My major will be :

Person to be contacted in case of emergency:

Name:
Relationship to you:
Address:
Phone:
Email address:

Additional things you would like your host family to know about you:

I certify that the information submited about myself is correct.I have read and understand the cost and condition of the American Homestay Program.I also understand that this is an agreement between myself and my host family and i do hereby release Rancho Santiago Community College and its employees from any liability that I may incur during the course of my homestay.

 

Rancho Santiago Community College District, International Student Center