Farmstay/Ranchstay Application Form – Agent


Primary Contact Information
Personal Information
Shorty Essays

Please answer the following questions with complete sentences in the spaces below. Your answers to these questions will be read by our placement staff to help us determine the best possible placement for you, as well as by your prospective farm hosts once chosen, to give them a bit of an idea about you.

Family Information
Other Information
Travel Information
Letter to Host Family

Please write your prospective hosts a letter introducing yourself, explaining your motivations, and why you feel you will be asset while on placement with them. *

Terms and Conditions

I, understand and agree to release, hold harmless, and indemnify all StudyNet/Home-Sweet-Homestay (hereafter, HSH) owners, directors, officers, agents, employees, partners, and hosts, from any and all liability for loss, property damage, personal injury, or death, including any such liability that may arise out of any negligent act or omission which may be suffered or claimed by myself, my parent(s), or legal guardian(s) during, or as a result of, my enrollment in the HSH program.

Furthermore, I authorize the use of my name, voice, photograph, likeness, performance and/or biography by HSH in connection with any use of a product arising out of my participation in the HSH program. I authorize HSH to obtain and hold copyrights in such program and products, and to edit my performance and materials at its sole discretion.

I have read this Authorization, Indemnity, and Release Waiver of liability, and understand all its terms. I execute it voluntarily and with full knowledge of its significance, and accept to all its terms and conditions.

 I confirm that I have read and agree to all the terms, conditions, and policies above.