Homestay host registration sheet

Participating hosts will be responsible for their intern from March 3rd – 10th. Key intern program dates are as follows:

Question Title

Image

Question Title

* 1. Contact Information (English) - Please include at least one mobile phone number:

Question Title

* 2. Contact Information (Japanese) - Include if possible, but OK to skip for now:

Question Title

* 3. Describe who is living at your house - Example: grandmother, husband, wife, son (age 12), daughter (age 8):

Question Title

* 4. Please list any pets (this is used for Allergy check): 

Question Title

* 5. Please indicate below, how many interns you would like to host (also let us know if you can host an extra one if needed):

Question Title

* 6. If you have any gender preference for the student(s), please state it here:

Host families have the following responsibilities:

1. The host family is responsible for taking care of the Intern outside of internship hours
2. The host family will meet the Intern @ Tokyo station on Sunday, March 4th (details TBC later)
3. The host family will get the Intern to their work or to meeting point with work contact on Monday March 5th
4. The host family will make sure that the intern knows how to commute to and from the work place
5. The host family will plan an outing with/for the intern on March 10th 
6. The host family will take the intern to the station on March 11th

Question Title

* 7. Please confirm that you understand the above responsibilities by selecting agree below and typing your name:

T