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الإقامة في واشنطن وميريلاند وفيرجينيا
تطبق الآن
المثيرة للحياة واشنطن العاصمة في انتظاركم فقط قصيرة حافلة من ركوب المترو أو أي من مواقع عديدة.
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يرجى ملء النموذج التالي على قدر قدرتك. سوف نقوم بالرد على طلبك في غضون 48 ساعة. إذا كنت لا نسمع من لنا بعد ذلك ، يرجى الاتصال بنا.

 
Personal Information
When will you start school?  (MM/DD/YYYY)
Name of school:
Family Name:
First Name:
Middle Initial:
Present Address:
City:
Province/State:
Postal Code/Zip:
Country:
Nationality:
Phone:
Email Address:
Sex: Male Female
Date of Birth: (MM/DD/YYYY)
Religion (for food arrangements)
 
School Information
Most recent school attended:
Degree or Diploma earned and field of study:
Are you currently a student? Yes  No
Occupation:
 
Family Information
Parent's address:
City:
Province/State:
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Country:
Phone:
Email Address:
Father's Name:
 
General Information
How did you learn about us?
How long do you plan to stay with us?
Interests/Hobbies/Sports:
Previous trips abroad:
Have you participated in a Homestay program before? Yes No
Do you smoke? Yes  No
Pets? No dogs Dogs OK
No catsCats OK
What do you hope to learn from your homestay?
Please list any allergies (food, animal, plant), health problems, or dietary restrictions:
List the name of a person to contact in case of emergency.
First name
Last name
Address:
Phone:
By typing your name in the box below, you are signing this application and authorize WMV Homes to process and research all information provided.
Signature (type full name):