Application Process

Have You Hosted with the Salem Ota Cultural Exchange before? (required)
YesNo

Do you have children who are approximately Middle School age? (We accept families with Upper Elementary and young High School too.) (required)
YesNoMaybe

Please tell us the name, age, and gender of your approximately Middle school age child or children.

Where do you live?
SalemOther
Other

Name (required)

How should we reach you?
EmailPhone callText

Email (required)

Phone/Text number