Homestay Questionnaire

Please fill out the following homestay questionnaire to aid in your homestay placement. All fields are required unless otherwise stated. When you have filled out the form, click "Send".

Personal Details

Full Name:

Preferred name:


Date of Birth:


Personal e-mail:

Spanish proficiency level:

Ethnic background that most accurately describes you:

Religion (optional):

Field of study or profession:

Interests, Sports, Hobbies, etc.: