Homestay Host – California College of Music

CONTACT INFORMATION

Name *

Address *

City *

State *

Zip Code *

Phone *

Email *

HOME INFORMATION

Type of residence *

How many people are currently living in your household? (Including yourself) *

Do you have any pets? *

If yes, please give details?

Does anyone smoke in your household? *

Have you hosted students before? *

Does anyone living in your household have a serious illness, disability or nervous disorder? *

If yes, please give details?

Has any member of your family/household been convicted of a misdemeanor/felony? *

If yes, please give details?

STUDENT PREFERENCES

Meal Plans *

In some cases, students prefer homestays that also include at least 2 meals a day (breakfast & lunch). Please let us know if what your preference is.

HOUSING RATES

Monthly rate without a meal plan *

Please enter the monthly amount you are seeking that does not include a meal plan. Example (600.00)

Monthly rate with a meal plan

Please enter the monthly amount you are seeking that includes a meal plan. Example (700.00) Leave blank if you are not offering a meal plan.

Getting to know you.

Family lifestyle. *

In this section please let us know more about you and your household. What is it like at your residence? Do you have any hobbies? Do you speak any other languages other than English?