Shared Housing Room Rental Application


Student Shared Housing Application (PDF)



Accommodation Preference
Starting Quarter
Are you applying through an agency?
Do you plan to bring your phone to the US?

Such as FACEBOOK, LINE, KAKAOTALK, WECHAT, etc. Will be used mainly to keep in contact with USAI staff and will be kept confidential.

Do you prefer families with children?
Do you prefer families with pets?
Do you smoke?
Do you plan to buy a car in the US?
Please rate your English level
Are you:
What are your hobbies and interest?
Do you have any mental, medical, physical requirements or special needs?
Are you taking any medicine?
Do you have any allergies?
How did you hear about USA International?
Do you need Airport Pickup Service?
  • Airport pick-up by USAI or host family is available for a service fee of $125.00 - $200.00 per person depending on distance, Monday – Sunday, 8:00 AM – 8:00 PM Pacific Standard Time in the U.S.
  • Airport pick-up is limited on U.S. Holidays
  • Flight information must be received at least 2 weeks before arrival date. You will be on our waiting list if it is less than 2 weeks.
Payment Type


USAI Share House Guidelines (PDF)

Do you agree to USAI Share House Guidlines?


Hold Harmless Agreement

USA International reserves the right to use its own discretion when accepting prospective students. Applications that contain erroneous or false information are subject to annulment. USA International and its agents will be held harmless from and against all claims, damages, actions, liability, and expense concerning loss of life, or personal property arising from a student participating in housing programs.