call for a consultation (732) 572-7991
About Us
About AEP
About Highland Park
About Highland Park High School
Why Homestay?
Programs
High School Prep Program
American Diploma Initiative
Apply Now
Fees
Application
Contact Us
FAQ
American Education Programs
ID
*
Agency name
*
DO YOU HAVE ANY FRIENDS OR RELATIVES IN THE U.S. OR CANADA
*
Yes
No
PARENTS/GUARDIANS 1 FIRST AND LAST NAME
*
PARENT 1 - OCCUPATION
*
PARENT 1 - SPEAKS ENGLISH
*
Well
Some
Not at all
PARENT 2 - BUSINESS TELEPHONE
*
If yes, please identify
*
HOME ADDRESS
*
If yes, please include the names, address, and telephone
*
If yes, please describe
*
DO YOU HAVE ANY ALLERGIES?
*
Yes
No
ID 2
*
GENDER
*
Male
Female
GENDER
*
Male
IF YES, PLEASE PROVIDE THE AGENCY NAME, CITY, CONTACT PERSON, EMAIL, AND TELEPHONE BELOW
Contact Person
*
GRADE AT RPS
*
PARENTS/GUARDIANS 2 FIRST AND LAST NAME
*
PARENT 2
*
BIRTHDATE
*
AGE
*
NAME OF SCHOOL CURRENTLY ATTENDING
*
SOCIAL MEDIA ID/NAME
*
If yes, please include the names, address, and telephone
*
STATE/PROVINCE
*
ENGLISH NAME
*
PARENT 2 - OCCUPATION
*
If yes, please include the names, address, and telephone
*
ZIP/POSTAL CODE
*
Thank you for contacting us! If needed, you will hear back within 48-72 hours.
I ATTEST THAT THE INFORMATION PROVIDED ABOVE IS ACCURATE TO THE BEST OF MY KNOWLEDGE
FIRST NAME
*
DO YOU CURRENTLY TAKE ANY MEDICATION (HERBAL OR PRESCRIPTION)
*
Yes
No
Agency City
*
COUNTRY
*
Homestay Application
PARENT 2 - SPEAKS ENGLISH
*
Well
Some
Not at all
PARENT 1 - BUSINESS TELEPHONE
*
ARE YOU APPLYING THROUGH AN AGENCY?
*
Yes
No
STUDENT
*
Telephone
*
CITY
*
TELEPHONE
*
Contact Person's Email
*
PARENT 1
*
STUDENT LAST NAME
*
CURRENT GRADE
*
SECONDARY SOCIAL MEDIA ID/NAME
*
WECHAT
SKYPE
FACEBOOK
OTHER
EMAIL
*
View on Mobile