Willamette University

Spanish and Liberal Arts in Granada, Spain

Homestay Experience Form

Prepare yourself to be open minded about your placement; every living situation in Granada is a unique insight into Spanish culture.

You may be welcomed into the home as a family member or given more autonomy if treated as a boarder. We encourage students to create expectations of their placements that allow for open mindedness and flexibility. Placements are deliberate and thoughtful, and made with your best interests in mind. All housing request will be considered, however, final placement is at the discretion of the program administration.

Your Personal Information

Please be as thorough as possible.
Name 1: Last Name(s)
Name 2: First Name(s), Middle Name(s)
Your Preferred Name/Nickname:
Birthday (Month, Date, Year):
Gender:
Email Address:
Permanent Address: (Address, City, State, Zip Code)
Permanent Telephone Number:
Emergency Contact (Parent, Family): Name, Relationship, Phone Number, Email Address
Home University:
Medical Conditions: Any medical conditions of which your host family should be aware (write YES or NO)? If yes, please describe.
Picky Eater?: Are you a picky eater?
Yes
No
Dietary Restrictions?: Please describe any dietary restrictions. (If you don't have any, write NONE). Please note that families are not required to meet dietary preferences. Vegetarianism is far less common in Spain than the U.S.
Allergies: Any allergies you should share with your host family (animals, drugs, food, environment)? Write YES or NO. If YES, please describe your allergies and the severity of each allergies (i.e. discomfort vs. medical attention needed).
Religious/Spiritual Affiliation: Please describe your religious or spiritual affiliation and the frequency in which you attend service.
Hobbies, Interests, Leisure Pursuits: Describe your hobbies, interests and leisure pursuits.
Five Descriptive Words: Use five words to describe yourself.
People Say I'm...: Complete this sentence: "People say I'm..."

Living Preferences

Please check the following choices which describe you most.
Cleanliness: Very Tidy
Somewhat Tidy
Not Tidy
Bed Time: It is likely I will...
go to bed early.
stay up late.
sleep whenever I can. (I am a flexible sleeper.)
Young Children: Do you have experience with young children?
Yes, lots.
Yes, some.
No, none.
Live with Children: Do you want to live with young children?
Yes!
I don't care.
No, absolutely not.
Pets: Do you like pets (write YES or NO)? If yes, which types of pets?
Allergies to Pets: Do you have any allergies to animals/pets (write YES or NO)? If yes, please describe.
Smoking Habits: Do you smoke (write YES or NO?) If yes, describe when, how much.

Roommate Preferences

Smoking Roommate: Do you mind a roommate that smokes?
Yes I mind, I do not want to live with a roommate that smokes.
No, I don't mind either way.
No, I don't mind living with a smoker.
Your Roommate: What characteristics of a roommate do you value most? Please describe.
Roommate Preference: If you have a specific roommate preference please enter the name as a mutual request now.
Other Factors?: Are there any other factors we should take into consideration regarding your roommate and/or host family placement? Please be specific.

Granada Housing Agreement

Please read and consider each section carefully and confirm your agreement by initialing below each sentence. You will receive a copy of this agreement in your Pre-Departure Packet.
Housing Agreement 1: I accept full responsibility for any damage or ill I cause during my stay with my host family.
Agree
Disagree
Housing Agreement 2: I will make every effort to adjust to living with a Spanish family (with reference to meal times, eating habits, having guests, difference in living standards and common courtesy.)
Agree
Disagree
Housing Agreement 3: I agree that I will not have any overnight guests in my program housing arrangement. Any friends or family members must arrange their own separate accommodations.
Agree
Disagree
Housing Agreement 4: I agree that I must give two weeks notice to the site director before any change in housing agreements can be made.
Agree
Disagree
Housing Agreement 5: I understand that Willamette University, my home university and the site director accept no responsibility for personal matters which may arise between myself and the family with which I am placed.
Agree
Disagree
Housing Agreement 6: I agree that in the event that a conflict of grievance arises with the host(s), I will attempt to resolve it with them directly. In the event that a resolution is not achieved, I will contact the site director.
Agree
Disagree

Authorization

By checking the box labeled "agree" and typing my name I authorize that, to the best of my knowledge, the information I have provided in this application is my own information, that the information is accurate and that the information is complete.
Check oneAgree
Disagree
Signature