International Student Host Agreement

This International Student Host Agreement ("Agreement") is entered into between:

Host Name
Host Address
Student Name
Student Date of Birth
Program/Institution
Agreement Start Date
Agreement End Date

1. Responsibilities of the Host

2. Responsibilities of the Student

3. Length of Stay

The Student will reside with the Host from to unless mutually agreed otherwise in writing.

4. Termination

5. General Terms

Host Signature          Date:
Student Signature          Date:

Emergency Contact Information