University of Oregon    AEI

AEI Homestay Application, Part 2

Please send to:
    American English Institute
    5212 University of Oregon
    Eugene, OR 97403-5212 U.S.A.

 

Your Name: ______________________

Birth Date: (Month/Day/Year) ___________

Today's Date: 7/4/08

Please read and sign the following statement:

I will make a commitment to live with my host family for one full term (10 weeks). This length of time will allow me to develop a strong relationship with my host family. I will discuss any problems in the host family's home with the Homestay Coordinator.

Signature______________________ Date___________
 

Please include homestay application fee of $150.00 with this application.

Please send a cashier's check or money order for the required fee. To pay online by credit card, please fill out Part 1 of the application online.


For AEI Office Use Only

  Date Recieved: ______________   Date App. Fee Recieved/Amount: ____________

  Terms Applied for Fall   Winter   Spring   Summer

  DateH/S Cood. Copied: _______


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