Student Ending Form

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Host Name

First

Last

Host Email

Homestay Address

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Student Name

First

Last

Student Email

School name

House Key Return

Damage caused by student during stay

Cleannese

The students are expected to clean the room and leave it in a similar condition to when they moved in.

Homestay Host Signature

Clear Signature

Date

Homestay Student Signature

Clear Signature

Date