FOCUS Homestay – Use only by permission

NOTE: Unless you have been sent to this page by FOCUS staff, please use the  Homestay Application page.

 

The purpose of this page is to inquire if a homestay might be available without completing the full application.

This page can be shared by FOCUS homestay coordinators and staff to PSU staff and individual students to ask about the availability. If you have been referred to this page, please do not share this link with others.

CAUTION: the acknowledgement will go to both the submitter’s email address and the student’s email address. If you wish to have the email go to ONLY the submitter, enter the submitter’s email address in both fields email fields.

“Basic Information About You” – this is information about the person completing the form. For example, perhaps a PSU staff is inquiring regarding the need of a student for a short term homestay.

“Circumstances related to query” – enter any information here that might help FOCUS Homestays understand the urgency or circumstances related to the current need for a homestay.

“Basic Information About Student” – From here and below the information entered should be about the person needing the homestay.

1. Basic Information About You
2. Submitter Name(required)
3. Submitter Email(valid email required)
4. Submitter Phone(required)
5. Circumstances related to query
6. Basic Information About Student
7. Given Name
8. Nickname (if any)
9. Family Name
10. Home Country(required)
11. Gender(required)
12. What is your age?(required)
13. Student Email Address(valid email required)
14. Current Address in United States (if any)
15. Phone Number (if any)
16. Date of Arrival in United States (MM/DD/YYYY)
17. Date of Arrival in Portland (MM/DD/YYYY)
18. Homestay Information
19. When would you like the homestay to begin? (MM/DD/YYYY)(required)
20. How long will you need to live with a host family? (If possible, give a date you expect the homestay would end)(required)
21. Will you have a car?Select answerI won't have a carI will have a carI might be getting a car(required)
22. Do you smoke?Do you smoke?No - I do not smokeYes - I smoke insideYes - I smoke but only outside(required)
23. Do you need a special type of food or diet?Select with mouse; hold Ctrl key to select additional.No - I don't have any special diet needHalal foodKosher foodVegetarian - no meatVegan - no animal products(required)
24. If yes, please give details
25. Enter PSU ID Number:
26. What is your level of English?Select answerBeginners LevelBasic Conversation LevelIntermediate Conversation LevelAdvanced Conversation Level(required)
27. Add'l details
28. Do you currently have a financial hardship that may affect ability to pay (if the host will charge a fee)?
29. Will you need assistance getting to the host family? If so, give add'l details regarding what needs to be moved and where you will be moving from.
30. Do we have permission to share this information with a potential host family?Select answerYes - you may share this information with a potential host family.No - you may not share this information with a potential host family.(required)
31. Would you like a copy of your inquiry emailed to you?