Basic Information

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Health Declaration

Click or drag a file to this area to upload.
You may have your doctor complete and sign this template showing that you are in good health and fit to live with a Chinese family, or he/she may use their own form.

Student Profile

If not applicable, enter N/A
If not applicable, enter N/A
If not applicable, enter N/A
If not applicable, enter N/A
Selected Value: 0
On a scale from 0 to 6, with 0 being 'Absolute Beginner' and 6 being 'Highly Advanced', how would you rate your current spoken Chinese ability?
Any additional information you would like to share with your homestay family prior to your arrival (optional)
Click or drag a file to this area to upload.
Families often request a recent photo of their guest prior to your arrival. If you would like to share a recent photo of yourself, please upload one here (optional)

Participant Signature