Homestay

2013 Homestay Request

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.

Name(required)

Email(required)

Phone (include area code)(required)

Address, City, State, Zip Code(required)

Film(required)

Affiliation to Film(required) Producer Director Screenwriter Actor Songwriter Agent Exhibitor Film Distributor OTHER

Your preference for a host (most of the time, hosts are families)(required) Female Male Doesn't Matter

Are you a Smoker?(required) Yes No Outside the house is OK

Are you okay with children in the home? Yes No

Are you okay with pets? Yes No

Bedroom/Sleeping Preference Need own room OK to share room OK to sleep on couch/hide-a-bed

Bathroom Preference bathtub shower doesn't matter

Carpeted house (for guests with allergies) OK No

Do you need your own wireless internet connection? Yes No Doesn't Matter

Please note any allergies or food restrictions

Breakfast

Lunch

Dinner

Other

Will you need transportation? Yes No

If YES to the above request, please indicate the time and place you need to go to

Do you require special accommodation due to a disability Yes No

If YES to the above request, please indicate the special needs of the guest (wheelchair access, grab bars in the bathroom, etc)

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

It is our goal to have your stay as comfortable and enjoyable as possible. Should you have more questions, please email Pamela Quan at pam@disorientfilm.org.

Thank you. We look forward to seeing you in April!