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Application:

Please complete this form. Press the "Submit Request" button when the form is completed. You will then get to a confirmation page. You may make any necessary changes, then hit "Confirm" at the bottom of the confirmation page to complete the application.

Dear Sara,
I would like to apply for *:
for a homestay during my stay in New York
for a shared apartment
for a furnished studio
for a furnished apartment
For homestay and shared apartments only:
Manhattan
Brooklyn
Queens
Other borough or suburb
If other, please specify area:
Bed & Breakfast only Half Board (Bed, Breakfast and Dinners)
Given Name*:
Family Name*:
*Male Female Age*:
Address in Home Country*:
Telephone*:
Fax:
Email*:
(your email is required so we may get in touch with you)
Name of school or name of company
to which you have applied*
(if not attending school or training with a company,
please write none):
School or Company Address:
Health Insurance and
Liability Insurance —
Please specify name of
insurance company (if none, please write none): *
USA Representative
of above Insurance Company —
(If wrote none for Insurance, do not write)
Please provide name:
and telephone number:
I have no travel, health and liability insurance, and I would like Sara's insurance (please click on word insurance for full details): * Yes No
  (if yes, we will charge you for the insurance coverage)
Date of Birth
(required for getting insurance through Sara's NY Homestay):*
 
Comments on insurance, if any:
 
Allergies (Please be as specific as possible;
if no allergies, please write none)*:
Smoker*: Yes No
Particular Requirements:
(if none, please write none)*
Please Tell Us About Yourself:
Please tell us about your educational and your job background, your hobbies etc. and what you would like to accomplish during your stay in New York.*
 
Arrival Date In New York: ,
Airline:
Flight Number:
Arrival Time: AM PM
Airport:
Airport Pick-up*: Yes No
Departure Date from New York: ,
Airport Drop-Off*: Yes No
Length of Stay in Weeks:
By submitting this application to Sara's New York Homestay LLC, I acknowledge that I (or my student if the person who submits the application is an agent of the student) have read the "guidelines for students and visitors" and that I (or my student) undertake to fully abide by them. Sara's New York Homestay will do its utmost to select appropriate homestay families but cannot be held responsible for the acts of others. Student are responsible to obtain both health and liability insurance. Sara' New York Homestay cannot be held responsible if student has failed to obtain such insurance.
*Required fields