Welcome to the DisOrient Asian American Film Festival!

We want to thank you for your flexibility in allowing us to find you a home-stay environment. We will do our best to find a most suitable match for your needs.

Please take a moment to fill out this form so we can evaluate your need for accommodation.

PERSONAL INFORMATION

Name (*)

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Address

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City

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State

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Zip

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Phone (include area code) (*)

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E-mail (*)

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Film (*)

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Affiliation to Film (*)
Please select...Artist - ProducerArtist - DirectorArtist - ScreenwriterArtist - SongwriterArtist - ActorIndustry - AgentIndustry - Film DistributorIndustry - ExhibitorOther
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HOMESTAY PREFERENCES

Your preference for a host:
Most of the time, hosts are families. (*)
Please select...FemaleMaleDoesn't Matter
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Are you a smoker? (*)
Please select...YesNoOutside the house is OK
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Are you OK with children in the home? (*)
Please select...YesNo
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Are you OK with pets? (*)
Please select...YesNo
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Bedroom/sleeping preference:
We will do our best to house you wherein you have your own room. (*)
Please select...Need my own roomOK to share roomOK to sleep on a couch/hide-a-bed
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Bathroom preference:
Please note that sometimes bathrooms are shared with other family members. (*)
Please select...BathtubShowerDoesn't matter
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Carpeted house (for guests with allergies) (*)
Please select...OKNo
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Do you need wireless internet connection? (*)
Please select...YesNoDoesn't matter
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Please note any allergies or food restrictions

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Will you need:
Guest will inform host ahead of time for shared meals and will agree to follow kitchen protocols of host family.
BreakfastLunchDinnerOther
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Will you need transportation? (*)
Please select...YesNo
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If yes to the above request, please indicate the time and place you need to go to.

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Do you require special accommodation due to a disability? (*)
Please select...YesNo
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If yes to the above request, please indicate:
Wheelchair accessGrab bars in the bathroomOther
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Other special needs:

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If you have any other request and/or needs, please indicate here:

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It is our goal to have your stay as comfortable and enjoyable as possible. Should you have more questions, please email Widya Mak at widyakok@gmail.com. We would be more than happy to help clarify anything.

Thank you. We look forward to see you in April.

To continue, please type the letters you see below then click "Submit Now!"


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