Shared Housing Room Rental Application

 

Student Shared Housing Application (PDF)

 

* Required Field

 

Accommodation Preference
Starting Quarter

Choose a date or type in with format MM/DD/YYYY. If you are not sure yet, please let us know at least one week in advance.

Prefix
Sex

Choose a date or type in with format MM/DD/YYYY

Do you plan to bring your phone to the US?

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

Are you applying through an agency?
Do you prefer families with children?
Do you prefer families with pets?
Do you smoke?

Please answer honestly. This is for placement purposes only.

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?
Do you have any friends or relatives in the U.S. or Canada?
How did you hear about USA International?
Do you need Airport Pickup Service?

Please leave blank if unsure

  • 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?
 

 

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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.