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Application form

Host family registration application form

  • Enter
  • Content confirmation
  • Complete

Family structure

*If you have 03 or more people in your family, please enter up to 3579 people, and contact the International Affairs Section (2015-XNUMX-XNUMX) after completing registration.

Gender (representative)Required
Occupation (representative)
(If a student is selected for “Occupation (representative)”)
(If other is selected for “Occupation (representative)”)
(Only if you have registered an invoice)
Level (representative)Required
Gender (second person)
Occupation (second person)
(When student is selected for “Occupation (second person)”)
(When other is selected in "Occupation (second person)")
Level (2nd person)
Gender (second person)
Occupation (second person)
(When student is selected for “Occupation (second person)”)
(When other is selected in "Occupation (second person)")
Level (3nd person)
Gender (second person)
Occupation (second person)
(When student is selected for “Occupation (second person)”)
(When other is selected in "Occupation (second person)")
Level (4nd person)
Gender (second person)
Occupation (second person)
(When student is selected for “Occupation (second person)”)
(When other is selected in "Occupation (second person)")
Level (5nd person)
Gender (second person)
Occupation (second person)
(When student is selected for “Occupation (second person)”)
(When other is selected in "Occupation (second person)")
Level (6nd person)

Contact

(Example: XX minute walk from XX station on the XX line)

About your home

Private room offerRequired
ToiletRequired
bedRequired
Acceptance of smokersRequired
PetRequired
(If you select "Pets")
acceptance periodRequired
(If you select other in "Available period")

Number of people that can be accepted at one time

Notices

If you have any special notes about your home, please write them down.
If you have any special conditions for accepting homestay, please write them down.
Please fill in if you have experience of hosting a homestay or home visit.

Privacy Policy

Privacy PolicyRequired Personal information provided by customers is carefully and safely managed. Privacy PolicyIf you agree, please check "I agree" and click "Confirm input contents".