CCS 40-331 (Rev. 01/20)
Marketing and Public Relations
International Programs: Global Education
MOVING OUT FORM
Spokane Falls Community College
MS 3011, 3410 W Fort George Wright Drive, Spokane WA 99224-5288 USA
509-533-4113 FAX: 509-533-3237
Expectations prior to moving out of a home
Please begin to fill out this form a minimum of one week before the student moves out of the home. When
form is completed, and final payments are made, mail or email this form to the Homestay Office. Thank you!
EXPECTATIONS (check completed items)
Family notified 30 days prior to move out date. Date notified:
All belongings are out of the home/garage/closets
Bathroom is completely cleaned (shower/tub, sink, mirrors, toilet, floor, rugs, walls)
Bedding and towels are washed (if requested by host family)
Trash is taken out of the bedroom and bathroom
Bedroom is cleaned (vacuumed, dusted, and cleaned according to host expectations)
All dishes are washed and put away; student food is removed from the kitchen
Carpet cleaning has been arranged and paid for - if needed. (Only if beyond normal wear and tear.)
House keys returned to host family
PAYMENTS
FINAL MONTHLY FEE: Final monthly fee was paid on
The amount was $
DAMAGES:
No damages
Damages to
Amount paid
$
Date paid
CLEANING: Payment for cleaning if room/bathroom/student area was NOT left according to above
standards by the student. Host family and student need to agree on the price of this cleaning. The
Homestay Office recommends between $75-$150 for an average cleaning fee, depending on size of
the rooms, and the depth of cleaning needed.
No cleaning fee needed
Cleaning fee
$
Date paid
Name (printed)
Student number
Student signature
Date
Host family signature
Date
Email completed form to: InternationalHomestay@ccs.spokane.edu