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Application - Homestay

Directions for applying:

1. Fill out the online application below and hit "Submit."

Or

2. Click here for a printable homestay application "Paper Homestay Application". Fill out the application. Send it by fax to (206) 720-1806 or by mail to:
ALPS Language School, 430 Broadway East, Seattle, WA 98102 USA.

male female

Month:  Day:  Year:

You must be at least 18 years old to begin classes at ALPS.

Part 2 of 3: Family Information

Brothers & Sisters

Male Female

Male Female

Male Female

Male Female

Male Female

Part 3 of 3: Questionnaire

Is this your first trip abroad? (Please explain)

Yes No

Yes No

Yes No

Note: Airport service is not available on holidays or between the hours of 8:00 p.m.-6:00 a.m.

Holidays: 2014: January 1, 18, 19, 20; February 15, 16, 17; April 20, May 11, 24, 25, 26; June 15; July 4, 5, 6; September 1; October 11, 12, 13; November 11, 27; December 24, 25, 26, 31 2015: January 1, 19; February 14, 15, 16; April 5; May 10, 23, 24, 25; June 21; July 3, 4, 5; September 5, 6, 7; October 10, 11, 12; November 11, 12, 13, 26, 27, 28, 29; December 24, 25, 26, 27, 31 2016: January 1, 18; February 13, 14, 15; March 27; May 15, 28, 29, 30; June 19; July 2, 3, 4; September 3, 4, 5; October 8, 9, 10; November 24, 25, 26, 27; December 24, 25, 26, 31;

*All weekend and evening arrivals will incur a $100 fee in addition to the placement fee.

Yes No


(car insurance is mandatory in Washington State.)

Medical insurance is required for all students using an F-1 student visa.

Yes No, I will use the insurance provided by ALPS.

Yes No

(This question is asked solely to determine your opinion. It in no way implies that you will be expected to babysit.)

Yes No

(It may not be possible to place you in a pet free home because most Americans have pets.)

Yes No

(Most Americans do not allow smoking in their homes, so you may be asked to smoke outside only.)

Yes No

Yes No

(A program of study or work can be both physically and emotionally stressful. Should an emergency arise while you are overseas, it is important that Intercultural Homestays and Services, be aware of any past or potential medical conditions that you may have. A frank evaluation of your health is essential to your safety)

Do you have any physical or mental disabilities (e.g. allergies to food or pets, special dietary needs, physical restrictions, etc.)

Are there any foods you do not eat? (If yes explain)

Do you have any religious restrictions?(If yes explain)

Explain what you expect of your homestay:

What would you like your new host to know about you?

Which of the following best describes you, in terms of being placed in a foreign household?

Independent of home and family life Adventurous
Quiet and Reflective Outgoing and Sociable

What are your hobbies?

What are your favorite sports?

Instructions: Please answer all questions and press the Submit Application button below.

We cannot guarantee that all of your housing preferences will be met, but our housing coordinator will use the information to help arrange a compatible placement. Please read the waiver and release agreement documents to be fully aware of our policies and liabilities

© 2014 ALPS Language School