Part II

Personal Information

Please tell us a little bit about yourself. This part of the application is used to help us match you with the right host family for you!

Legal Name *

Preferred Name *

Are you applying for homestay or boarding? *

Student Gender *

Date of Birth:

Day: *

Month *

Year *

Do you have a friend or sibling currently attending Fairmont or arriving with you with whom you would like to live? *

Please give that student's full name. *

Are you a vegetarian? *

Yes

No

Are there any foods that you cannot eat? *

Yes

No

Please list: *

Do you smoke? *

Yes

No

Note: You need to be 21 to legally smoke in California.

How much time do you spend doing homework each day? *

How much time do you spend on the Internet each day? *

Do you have or have you had any illness, disability, mental illness, or allergies in your medical history? *

Yes

No

Please explain: *

Do you take any medication(s)? *

Yes

No

Please explain: *

Have you ever undergone therapy for a mental disorder? *

Yes

No

Please explain: *

Are you comfortable living with young children (0-4) in the house? *

Yes

No

Are you OK to live in a house with pets? *

Yes

No

Please list all animals you are OK to live with (ex. dogs, cats, birds, etc.) *

Please explain. *

Can you swim? *

Yes

No

Would you be comfortable attending religious services with your host family if they were different from your own beliefs? *

What are your normal responsibilities/chores in your home? *

What is your favorite subject at school? Why? *

Do you play sports? *

Yes

No

Please let us know what sports you play. *

Will you play sports at Fairmont? *

Yes

No

What five words best describe you? *

How many people are in your family? Please briefly describe them. *

Have you ever traveled outside the country before? *

Yes

No

Have you spent more than four days away from your parents before? *

Yes

No

What will you miss most during your time abroad? *

What are you most excited about for your time in California? *

What are your favorite indoor activities? *

What are your favorite outdoor activities? *

What are your favorite sports? *

Do you play a musical instrument? *

Yes

No

Please list the instruments you play. *

What are your plans for after high school? *

Why have you chosen to live in a homestay? *

Write a brief message to your new host family. *

Terms and Conditions

Please upload the completed Terms and Conditions that you downloaded previously.

Please upload the completed Boarding Terms & Conditions that you downloaded previously.