RESIDENCE STUDENT FORM

Your Information

Student Information

First Name*

Last Name*

Contact Number

Email*

Gender*

Male Female

Religion*

Birthday*

Type Of Meal Plan*

Type Of Diet*

Do You Have An Allergy*

Preferred In-House Language*

Are you a smoker?*

You are into cultural exchange?*

Are you okay living with home pets?*

Preferred staying solo or in a group?*

Preferred a Bedroom with own Bathroom?*

Preferred Length of Stay?*

Name of the School*

Address of the School*

Family Member's Name*

Relationship*

Contact Number*

YOUR SIGNATURE*

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