Name
*
For "First Name", please enter your given name or what you'd like to be called. For "Last Name," please enter your family or surname.
First Name
Last Name
Self Description
*
This is the single most important question on the application. Please take your time and thoughtfully tell us about yourself. Our hosts decide who they want to host based mostly on what you write here. Some ideas may include: your family, hometown, travel experiences, musical abilities and tastes, sports you enjoy, plans for your future, why you chose UCSD over other American universities, what you are looking forward to in San Diego, what you may be nervous or concerned about, your reading habits, hobbies and anything else that is unusual or unique about you.
Email Address
*
Cell Phone #
Country
(###)
###
####
Country of Residence
*
Emergency Contact Name
Emergency Contact Relationship
Emergency Contact Phone #
Country
(###)
###
####
Date of arrival
*
Your date of arrival in San Diego. If another airport is required, we won't be able to guarantee pickup, however please apply and we can try to extend our hospitality depending upon your arrival details listed below.
MM
DD
YYYY
Arrival Time
*
Time of arrival in San Diego. You may use either a 24-hour format or a 12-hour format. If you use a 12-hour format, please include AM or PM.
Hour
Minute
Second
AM
PM
Airline
*
Arrival Flight Number
*
Connecting Flight Information
*
Please provide any and all details on connecting flight information so we can watch the status of your flights and welcome you to San Diego. Flight numbers and locations are helpful. If your flight is direct to San Diego Airport, please type that instead.
Position at UCSD
Undergraduate
Graduate
Visiting Scholar
Major/Department
Gender
*
Age
*
Nationality
Languages
Marital Status
*
Single
Married with spouse accompanying me
Married but spouse not arriving with me
Spouse Name
Are you a vegetarian?
*
Yes
No
Do you smoke?
*
Yes
No
Dietary Restrictions
*
Yes
No
Dietary restriction details
Allergies
*
Yes
No
Allergy details
If you have any allergies, provide details so your host knows how to accommodate you.
Pets
*
We understand that some individuals may have preferences or concerns regarding pets. Are you comfortable with the presence of a friendly, well-behaved dog in the house?
Yes
No
Other special needs
*
Yes
No
Any other special needs? Please describe.
Any other special needs like wheelchair access, guide for visual impairment, etc.
My housing status is:
*
I have permanent housing arranged.
I am currently looking for permanent housing.
Move in date to permanent housing
Based upon your answer above, give us your move-in date if known.
MM
DD
YYYY
What help do you anticipate needing from your host?
Have you lived in the US before? If so, list where.