Spanish in España:
Homestay Questionnaire
Please circle your homestay location: Cadiz
Conil
Nerja
Each year, we go to great lengths to make sure students are placed
with an enjoyable and appropriate homestay family. To help us,
Please attach two recent photos here.
They can be pictures with your family,
friends or by yourself.
You may also e-mail a digital photo to
[email protected].
please complete this questionnaire and return it to us within 2
weeks of receipt. Your application will not be reviewed for
acceptance to the program until we have received all your
application materials.
Section 1: Personal Information
Name:
Sex:
p M
p F
Age in July: _______
E-mail address: _______________________________________________________________________
Years of Spanish: ________
I would rate my conversational ability as:
p Near Fluent
p Comfortable
How many brothers do you have?
Ages: ___________
How many sisters do you have?
Ages: ___________
p Communicate with Difficulty
Do you have any special dietary needs? If yes, please explain.
________________________________________________________________________________
Do you have any special medical needs or concerns? If yes, please explain.
________________________________________________________________________________
Are there any types of foods that you do not like to eat? (Remember that fresh fish is a staple in Spain.) If yes, please
explain.
________________________________________________________________________________
Do you have any allergies? If yes, please explain.
_______________________________________________________________________________________
Do you like dogs?
p Yes
p No
Do you like cats?
p Yes
p No
*We will try to put you in a house without pets if you so request, but we can't guarantee this.
Are you attending this program independently or with a friend? Please provide the student’s full name if
you are attending with a friend.
Section 2: Personal Interests
In the space below, please indicate your interests, hobbies, or activities that interest you.
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
Briefly describe any travel experiences - foreign or domestic - and indicate whether you travelled independently, with
a group, or with family.
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
Section 3: Preparing for the Homestay Experience
Please indicate your preference below. Please note that we can guarantee that you will be placed by yourself in a
homestay family if that is your preference. We will do our best to honor other requests.
r
I would like to be the only student hosted by the homestay family.
r
I know another student with whom I would like to be placed.
o
r
Full name of student:________________________________
I would like Summerfuel to place me with another student of their choice.
Is there anything else you would like us to know about you before we select your homestay family?
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
Briefly, what do you expect daily life with your homestay family to be like?
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
Please tell us anything you know about Spain and its culture. There are no right or wrong responses. Just tell us
whatever you know about Spain or what comes to mind.
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
Being flexible and open-minded is very important to ensure a successful experience. Tell us of any experiences that
you have had where possessing these qualities was essential:
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
Section 4: Letter to your Family
Please write your homestay family a letter in Spanish telling them about yourself and what you expect from your
experience in Spain. Please use a separate sheet of paper using at least 250 words. You may type or handwrite the
letter, which will be sent to your family along with your photo
Section 5: Afternoon Workshops
Please find below the workshops that are offered in each homestay location. You may choose up to two
workshops and must choose at least one. Attendance to afternoon courses is obligatory. Each of
them will take place once or twice a week. You will find a description of these workshops in the language brochure
under each specific location. All workshops are free of cost except where indicated. Remember that we have a
limited number of spaces for some activities, so please return the form as soon as possible to ensure your place.
Cadiz
Nerja
Conil
r Surfing ($150)
r Introduction to Scuba Diving ($150)
r Surfing ($150)
r Spanish Guitar
r Pottery and Ceramics
r Spanish Cooking
r Spanish Cooking
r Dance Plus!
r Soccer
r Watercolor Painting
Please return this questionnaire with your photos and letter to [email protected],
or mail to:
Attn: Summerfuel in Spain
Summerfuel
375 West Broadway, Suite 200
New York, NY 10012