Students Open Room

Thank you for your interest in participating in this program. We work hard to match students with the homes that best suite them.  This varies from student to student and from household to household. As a result, we cannot promise a match in every case. 

Your Name (required)

Your Email (required)

Phone Number

What US city do you live in?

What country are you from?

What school will you be attending?

What class or level are you currently in?

How did you hear about us?

Are you married?
YesNo

If so, will your spouse or any other family members be staying with you?

YesNo

Are you willing to live with a family that has a pet dog or cat?
YesNo

How would you describe yourself?

Why would you like to live with an American family?

Do you have your own transportation?
YesNo

Have you ever been convicted of a crime?
YesNo

If so, what?

On a scale of 1 to 10 with 1 being “dirty” and 10 being “always clean,” how would you rate your cleanliness?

Do you have any dietary restrictions or foods that you cannot eat?

How long are you hoping to live with an American family?

Do you have a reliable source of income to pay your rent?
YesNo