New Student Application for Adults/Groups (6.6.23)

Complete Your Student Profile

Welcome! Please tell us about you so we can match you with the best host family for you.
Your Name*

First NameLast Name
Preferred Name
American name or other name you would prefer us to use
Phone Number
Email*
Country of Origin*
City of US Education Provider*
School Location City
State of US Education Provider*
School Location State
Gender*
What age will you be when you start your homestay?*
Date of Birth*

MonthDayYear
Date
Passport Number
Passport Country of Issue*
Intended Start Date for Placement*

MonthDayYear
Date
Expected Length of Placement*
Name of Educational Provider*
I have read and agree to the Terms and Conditions.*

Agree
➜ Click here to view the SRS Homestay Terms and Conditions

Lifestyle
This information helps us find a family that will be a good match for your preferences and day-to-day life.
What is your level of conversational English?*
Do you drink alcohol?*
Are you willing to live with other who drink alcohol?*
Do you smoke?*
Are you willing to live with others who smoke?*
Briefly introduce yourself to your host family*
This portion should be written for a host family to read.
Contact Details
Let us know the best points of contact for you
Are you studying abroad with a group? *
Group Name*
Main Communication Email*
We will send all initial communication to this email.

Services
Let us know what additional services you may need.
Insurance*
Insurance is required, please tell us if you would like to purchase insurance form SRS or if you will be purchasing your own.
Do you know your flight arrival details?*
If you know your flight arrival details , please let us know now. If you don't know yet, don't worry - you can update us later.
Do you need Airport Pick Up*
Flight Arrival Date

MonthDayYear
Date
Arrival Airport
Name of Airline
Flight Number
Flight Arrival Time

Hour Minutes

AM/PM Option
Anticipated Arrival Time at the Host Home

Hour Minutes

AM/PM Option
You're almost done!
Photos 📸
Only two photos are required, but we encourage you to provide additional photos!
Personal Photo(s)*

Cancelof
Family Photo(s)*

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Please check the consent box below to complete your profile.
I give StudentRoomStay permission to share my profile and photos with host families in my area.*

Agree
Should be Empty:

Complete Your Student Profile