Dear Friend of DisOrient:

Welcome to the DisOrient Asian American Film Festival!

First of all, we want to thank you for the possibility of housing a guest in your home. People like you are the ones who help make our festival more memorable to our community and guests.

Secondly, we want to make sure that we can provide the best suitable match with your family with that of our guests. Please fill out this form as this will help us in evaluating the housing needs of our guests as well as, respect the needs of your family and environment.

PERSONAL INFORMATION

Name (*)

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Address (*)

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City (*)

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Phone (include area code) (*)

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E-mail (*)

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HOMESTAY PREFERENCES

Date(s) that you're able to host a guest:
(Most filmmakers are arriving on Friday and leaving on Monday) (*)
Fri, 23rdSat, 24thSun, 25thMon, 26th
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Your preference for a guest: (*)
Please select...FemaleMaleDoesn't Matter
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Will you allow smoking? (*)
Please select...YesNoOutside the house is OK
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Are there children in the house? (*)
Please select...YesNo
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Do you have pets? (*)
Please select...Yes (If yes, please answer next question)No
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If yes to the above question, what kind of pet(s)?

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Will the guest have his/her own bedroom: (*)
Please select...YesNoShared
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Own bathroom: (*)
Please select...YesNoShared
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Is your home carpeted (for guests with allergies): (*)
Please select...YesNo
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Do you have internet connection? (*)
Please select...Yes - cable internetYes - wirelessYes - modemNo
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Please note any allergies or food restrictions

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Can you provide:
(Guest will inform you ahead of time for meal schedule. Leave blank if you prefer NOT to provide any meals or indicate if you will just have tea or coffee or any other beverage available anytime). You can always inform your guest about your kitchen protocol.
BreakfastLunchDinnerCoffee/Tea/BeveragesSnacksOther
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Can you provide transportation throughout the film festival for your guest? (*)
Please select...YesNo
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If yes to the above question, please indicate the dates and time frames that you'll be available.

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Do you have special accommodations for people with disability? (*)
Please select...Yes (If yes, please answer next question)No
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If yes to the above question, please indicate:
Wheelchair accessGrab bars in the bathroomOther
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Any other comments:

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We want you to have a wonderful time with your guest. 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.

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


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