• Self-introduction form

  • Please note that we will not be able to arrange a homestay or shared apartment for you if you do not send us this information.

  • Which school will you attend? (If you are studying at multiple locations, what is the first school you will study at?) / 通う予定の学校*
  • Which school will you attend? (If you are studying at multiple locations, select all schools you will study at.) / 通う予定の学校*
  • Date of birth / 生年月日*
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    2 digit day, 2 digit month, 4 digit year

  • If you are below the age of 20, you are prohibited by Japanese law from smoking or drinking. Please note that being caught doing either of these will result in disciplinary action.

  • Will you come to Japan with a long-term visa such as a student visa or working holiday visa? / 長期滞在ビザですか？*

  • Gender / 性別*

  • I am over 100kg in weight / 体重100kg以上*
  • I am over 190cm in height / 身長190cm以上*

  • Japanese beds are typically smaller than Western beds. If you fit one of the above descriptions, we will make special arrangements for you.

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  • Have you ever done a homestay before? / ホームステイ経験
  • Will you have anyone accompanying you when you move into your host family’s home?/ 同行者がいますか？
  • What is your relationship to the accompanying person?　If there are multiple applicable options, please select all that apply.／どなたが同行しますか？

  • Are you comfortable with a family that has a young child/children (aged 3 to 6)? / 3歳～6歳の子どものいる家庭でもいいですか*
  • Are you comfortable with a family that has a baby/babies (aged 0 to 2)? / 2歳以下の子どもがいる家庭でもいいですか*
  • Would you be comfortable being placed with a single mother living alone? / ホストマザー一人暮らしの家庭でもいいですか*
  • Would you be comfortable in a family that also hosts other guests/students? / 他のゲストがいる家庭でもいいですか*

  • The more strict your preferences, the further away from school the family may be.


    In Kyoto, all families generally host more than one guest. Requesting to be the only guest means you will be placed in neighboring cities (likely Osaka) with a long commute.


  • Do you smoke? / 喫煙しますか*
  • Is it OK if a member of the family smokes ? / 喫煙するファミリーでもいいですか*
  • Do you have any food or drink restrictions, and for what reason? / 食事制限はありますか*

  • Do you have any food or drink restrictions, and for what reason? / 食事制限はありますか*

  • If any dietary restrictions are discovered after you have moved into your homestay, there is a risk of accidental consumption or difficulties for your host family in accommodating your needs.
    To ensure a safe and comfortable stay, please make sure to accurately declare any dietary restrictions in advance.

  • Important Note:
    To ensure accurate documentation of your dietary restrictions, please select the appropriate main category first (e.g., Meat, Fish, Eggs, Dairy). You will then be able to specify the details within that category in the next step.

    Example:
    If you cannot eat beef, please first select "Meat" and then choose "Beef" in the following step.

    Please use the "Other" field only if your restriction does not fit into any of the provided categories (e.g., allergies to specific additives or other special dietary needs).

  • Which of these do you -NOT- eat/drink? 食べられない食材*
  • Which kind of meat do you -NOT- eat? 食べられないお肉の種類*

  • Which of these would you -NOT- eat?

  • Details for Meat*

  • What is the reason you do not eat the meat?*

  • Details for Beef*

  • What is the reason you do not eat Beef?*

  • Details for Pork*

  • What is the reason you do not eat Pork?*

  • Details for Chicken*

  • What is the reason you do not eat Chicken?*

  • Details for Lamb / Mutton*

  • What is the reason you do not eat Lamb / Mutton?*

  • Details for Other (Meat)*

  • What is the reason you do not eat the meat?*

  • Which kind of seafood do you -NOT- eat? 食べられないシーフードの種類*

  • Details for Seafood*

  • What is the reason you do not eat the Seafood?*

  • Details for Shrimp*

  • What is the reason you do not eat the Shrimp?*

  • Details for Squid*

  • What is the reason you do not eat the Squid?*

  • Details for Octopus*

  • What is the reason you do not eat the Octopus?*

  • Details for Shellfish/Clam*

  • What is the reason you do not eat the Shellfish/Clam?*

  • Details for Other (Seafood)*

  • What is the reason you do not eat the Seafood?*

  • Details for Fish*

  • What is the reason you do not eat the Fish?*

  • Details for Eggs*

  • What is the reason you do not eat the Eggs?*

  • Details for Milk/Dairy*

  • What is the reason you do not consume the Milk/Dairy?*

  • Details for Alcohol*

  • What is the reason you do not consume the Alcohol?*

  • Which kind of nuts do you -NOT- eat? 食べられないナッツの種類*

  • Details for Nuts*

  • What is the reason you do not eat the Nuts?*

  • Details for Walnuts*

  • What is the reason you do not eat the Walnuts?*

  • Details for Pecans*

  • What is the reason you do not eat the Pecans?*

  • Details for Cashews*

  • What is the reason you do not eat the Cashews?*

  • Details for Almonds*

  • What is the reason you do not eat the Almonds?*

  • Details for Pistachios*

  • What is the reason you do not eat the Pistachios?*

  • Details for Hazelnuts*

  • What is the reason you do not eat the Hazelnuts?*

  • Details for Other (Nuts)*

  • What is the reason you do not eat the Nuts?*

  • Details for Flour*

  • What is the reason you do not eat the Flour?*

  • Do you have any medical conditions, allergies, or disabilities diagnosed by a medical professional? / 診断された病状、アレルギー、障害はありますか*
  • Is your condition entirely self-manageable? / 自分で対応可能ですか*
  • Will you need any special support or infrastructure at school or at your accommodation? / 学校や滞在先で特別なサポートは必要ですか*
  • Is there any other important information for your host family to know (religion, personal habits, etc.) ?
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