Why Choose Homestay?
Student Fees & Cost
FAQ
Online Payment
Online Student Application
Please answer all required fields (marked with * ) then Submit Application
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Full Homestay (Breakfast & Dinner)
B&B (Breakfast)
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First Name:
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Last Name:
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Gender: Male
Female
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Address:
Postal Code:
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City:
State
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Country
choose...
Afghanistan
Albania
Algeria
American Samoa
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Anguilla
Antarctica
Antigua
Antilles
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Bhutan
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Bouvet Island
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British Indian Ocean Territory
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Central Africa
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Colombia
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Cote D'Ivoir
Croatia
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Czechoslovakia
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Djibouti
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East Timor
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El Salvador
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Iraq
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Maldives
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Martinique
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Mauritius
Mayotte
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Moldova
Monaco
Mongolia
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
Neutral Zone
New Caledon
New Guinea
New Zeland
Nicaragua
Niger
Nigeria
Niue
Norfolk Islands
North Korea
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Panama
Paraguay
Peru
Peuerto Rico
Philippines
Pitcairn Island
Poland
Polynesia
Portugal
Qatar
Reunion (French)
Romania
Russia
Rwanda
S. Georgia & S. Sandwich Isls.
Saint Kitts & Nevis Anguilla
Saint Lucia
Saint Pierre and Miquelon
Saint Tome (Sao Tome) and Principe
Saint Vincent & Grenadines
Samoa
San Marino
Saudi Arabia
Senegal
Seychelles
Sierra Leona
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
Spain
Sri Lanka
St. Helena
Sudan
Suriname
Svalbard and Jan Mayen Islands
Swaziland
Sweden
Switzerland
Syria
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Tajikistan
Tanzania
Thailand
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Tokelau
Tonga
Trinidad
Tunisia
Turkey
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Uruguay
USA Minor Outlying Islands
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Vanuatu
Venezuela
Viet Nam
Virgin Island
Wallis and Futuna Islands
Western Sahara
Yemen
Yugoslavia
Zaire
Zambia
Zimbabwe
Other
Telephone
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Email
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Date of Birth:
/
/19
(month/day/year)
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Religion:
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Nationality:
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Native Language:
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Level of English: Low
Intermediate
Advanced
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Arrival Date:
/
/20
(month/day/year)
Time:
AM
PM
, Airline Flight No:
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Will you need personal airport pick up service? Yes
No
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Length of stay in Homestays
Weeks
Months
Year
Years
, Will you have a car? Yes
No
While in Atlanta what school/Program will you attend?
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Profession/Student (Course of Study)
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Hobbies/Interest
Check your Preferences:
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Family type :
Couple
Single
Family with children
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Family with Pets:
Dogs
Cats
No Pets
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Family that smokes?
Yes
No
No Preference
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Family that drinks alcohol
Yes
No
No Preference
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Do you Smoke?
Yes
No
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Do you drink alcohol?
Yes
No
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Are you currently under the care of a Doctor?
Yes
No
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Do you have any special needs?
Yes
No
List needs as well as any allegies or any foods you cannot eat:
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Emergency contact (include name/address/phone number and relationship to you)
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I understand that neither the host nor Atlanta Homestays is responsible for my health or safety
Date: