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HOUSING QUESTIONNAIRE


First Name:
Middle Name:
Last Name:
Gender:
Country of Origin:
E-mail Address:
E-mail Address (#2):
SAL program are you planning to attend:
Have you applied yet? Yes
No
What type of housing are you interested in?

SJSU's Campus Village Apartments (Single Room)
SJSU's Campus Village Apartments (Double Room)
SJSU's International House
Homestay
Off-Campus Apartments
Hotels and Motels

Day you will arrive:
Approximate date you will move out:
Will you require an airport pickup: Yes
No
If Yes, please make sure to complete the Airport Pickup Request form.
Do you have any other housing questions?: