Homestay Family Application

Homestay families receive $550 per month directly from Pacific Rim and are not responsible for collecting any fees. This arrangement emphasizes a "family" relationship rather than a tenant landlord situation.

Applicant Information
First Name:
Birth date::
Last Name:
Address Street 1:
Address Street 2:
City:
Zip Code: (5 digits)
State:
Co-Applicant Information
First Name:
Last Name:
Contact Information
Daytime Phone:
Evening Phone:
Email:
Birth date:
Number of Children:
ages:
Property Information
Property Type:
List Pets:
Do You Smoke?
Other Information
Why do want to
host an international student? :
 Yes I authorize Pacific Rim to conduct a background check on all adults living in the home.

 

High School and University Programs - No TOEFL Required! 
Student Homestay Application

All Homestay families are required to pass a police background check and in-home safety inspection. Full homestay includes a private room, food while in the home, all utilities and internet access.

Application Fee: $250 (one time fee)

Full homestay: $600 (Due at the 1st of each month)

Applicant Information
First Name:
Last Name:
Address Street 1:
Address Street 2:
City:
Zip Code: (5 digits)
State:
Email Address::
Emergency Contact Information (family or close relative)
First Name:
Last Name:
Daytime Phone:
Evening Phone:
Email:
Personal  Information
Birthday: mm/dd/year
Do You Smoke?: YesNo
What School Do You Attend?:
Are Children O.K.?:

Other Information
List any food restrictions,
allergies, or medications.
I agree to abide by Homestay contract and house rules.


Contact us to learn more about Educational, Cultural and Language Immersion Programs through our network of U.S. High Schools, Colleges and Universities:
509.879.0820