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?:

HOUSING QUESTIONNAIRE