Housing Questionnaire (Homestay) Asterisks (*) indicate required fields. Students must live in program housing. It is critical that this form is filled out with an uploaded ID photo that has a white background and submitted within two weeks of your acceptance. Failure to do so jeopardizes housing assignments, and failure to upload an ID photo with a white background jeopardizes your attainment of a Public Transportation Card (provided by BU Madrid). Keep in mind that your household placement will be made based on the information you provide on this questionnaire. Please note that we cannot guarantee that we will be able to accommodate your preferences. However, if you have any special requests of which the Director and staff should be aware, please be sure to note those on your form.Name* First Last Home University*BU ID#*Major*Gender*Date of Birth* MM DD YYYY What semester are you going abroad?*Please selectFallSpringAYSummerPreferred Email* You will receive an email confirmation at this email address once you submit this form.Please upload a passport-style ID photo of yourself.*Accepted file types: jpg, jpeg, gif, png, pdf.Allowed file types are .jpg, .jpeg, .gif, .png, and .pdf.Housing QuestionsWhat is your language proficiency?BeginnerIntermediateAdvancedAre you a smoker? NOTE: Smoking is not allowed in the program facilities, including student rooms, at any time.*Yes, I am a smoker.No, I am a non-smoker.If you are a non-smoker, would you be prepared to live with smokers?YesNoDo you have any medical conditions (ex. diabetes or asthma), allergies, or other restrictions, including physical challenges, that the staff should be aware? For example, if you are afraid of dogs, or unable to climb stairs, we need to know now—not after you arrive. If you require certain accommodations for health reasons, please contact BU Study Abroad directly to confirm their availability.Do you have any dietary restrictions (vegetarian, kosher, vegan, etc.)? If you are a vegetarian, please state explicitly what you will not eat. Please be as specific as possible. Note: Some homestays may not be able to cater to Kosher or Halal meals, separate kitchens, or vegetarians. If you require certain accommodations for dietary reasons, please contact BU Study Abroad directly to confirm their availability.Do you have religious requirements about which the Director and staff should be aware? Please explain how these requirements may affect your schedule or eating habits. (Note: communal, kosher, or vegetarian kitchens cannot be organized). If you require certain accommodations for religious reasons, please contact BU Study Abroad directly to confirm their availability.Why have you chosen this program? Describe some expectations you might have.Please record any information about yourself, including your personality, hobbies, volunteering and internship experience, and career interests.Please describe your family background and family relationships. (For example, do you come from a large family with several brothers and sisters, or are you an only child?)Have you ever traveled to or studied in this country before? If so, where and when?Is there anything else that you think your host family should know about you?Households represent a wide range of incomes and situations, from a grandmother living alone to a couple living in the city to a family with several young children.I prefer NOT to live in a home with (This question is asked solely to determine your opinion. It in no way implies that you will be expected to babysit. You will not.): a baby children teenagers no preference Would you mind if another American student or international student is also housed with you?*NoYesWhich of the statements below would best describe you? (Mark all that apply.) Independent of home and family life Attached to home and family life Enjoy privacy Enjoy night life Flexible Quiet and reflective Outgoing and sociable Neat and tidy Messy Keep in mind that your household placement will be made with the above information taken into consideration. If you have any special requests of which the Director and staff should be made aware, please list them below or on an attached sheet.Any special requestsAccepted file types: doc, docx, pdf, txt.Allowed file types are Microsoft Word documents (.doc, .docx), PDFs (.pdf), or text files (.txt). This iframe contains the logic required to handle Ajax powered Gravity Forms.