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IA Home > Student and Scholar Services > Orientation > Homestay Registration

Short-Term Homestay

Fall Term Homestay dates are September 13 - 18, 2008.
Register by August 1st.

Homestay Registration Form


First Name
Last Name
Student ID (no dashes)

Mailing address:

Mailing 1
Mailing 2
Mailing 3
Telephone number
(include country code):
Email:
Re-enter Email:
When is your expected date of arrival in Eugene, Oregon?
List any food or medical restrictions you may have (e.g., you are a vegetarian or you have allergies):
Do you smoke? yes  no
What do you do in your spare time? What are your interests or hobbies. This information is important in matching you with a host family.
Will you be accompanied by a spouse or children? Explain.