Application form for booking a homestay in Paris with Stay & Study

Texte libre

(*)= compulsory

Family name

First Name

Age (number of years)

You are:

Female

Male

Nationality:

Your E-mail address (*)

Confirm your E-mail address(*)

Your WhatsApp number:

Date of arrival in the homestay (DD/MM/YYYY)

Date of departure from the homestay (DD/MM/YYYY)

Which School or University will you attend in Paris:

Type of Room:

Single Room

Double Room

For double room, name of your roommate (one application form each, please):

Meal plan (*):

Half-Board (5 dinners /week and breakfast every morning)

3 dinners (3 dinners /week and breakfast every morning)

Bed & Breakfast

Room Only (special long stay-no meals provided)

Are you smoker:

Yes

No

Do you have allergies:

Yes, to food

Yes, to animals

No allergy

Please, describe your allergies:

Do you want an airport transfer (a one way transfer is offered for stays > 12 weeks):

Yes, one way on arrival

Yes, one way on departure

Yes, both ways

No transfer, thanks

Is it your first time in Paris:

Yes

No

What is your level in French ?

Strong

Medium

Beginner

Please, briefly describe yourself:

Other information you want to add: