BE A HOST FAMILY !!! Welcome students into you heart. Bring a little culture into your home. Host families provide a place to sleep, a place at the table, and your friendship.

To become a host family you will need to complete and submit an application. Your application will be reviewed and if you are identified as a potential host family you will be contacted to set up a home visit. The home visit is followed by a background check. When the process is complete and the application approved, you will be notified if there is a student determined to be a good match for your home.

Fill out the application:

Primary Host’s Full Name:

First Name

Last Name

Primary Host's Occupation:

Year of Birth:

Sex

Address:

Cellular Telephone:

Work Telephone:

Home Telephone:

E-mail Address:

Please list the names of everyone living in the household, their relationship to you (i.e. daughter, son, student, etc.), their year of birth, and their occupation.

How many available bedrooms do you have?

Is there a private bathroom available for the student?

Will laundry facilities be available?

Do you have internet access in your home? Please explain (dial-up, wireless?)

What are your hobbies and interests?

Please list any and all pets:

Do you have any religious beliefs/practices you would like the student to be aware of? If yes, please specify:

Do the meals you will serve reflect any special dietary restrictions (i.e. Kosher, vegetarian, etc.)? If yes, please specify:

Do you have a preference to the student’s sex?

Do you have a preference to the age group (15-19, 20-29, 30+)?

Do you have preferences to the length of the student’s stay (short term: 1-3 weeks, intermediate: 1-3 months, long term: 4-12 months)?

Do you have preferences as to the student’s language group or nationality? If yes, please specify:

Are there any other languages spoken in your home? If yes, please specify:

How much time are you willing to interact with the student (how often are you at home, what is your work schedule like, what kind of things would you do with the student, etc.)?

Would your ideal hosting experience involve a student who was like a “member of the family” or would you prefer less involvement?

Do you permit smoking in your home?

Do you permit alcohol in your home?

Have you ever hosted an International Student before? If yes, please list the name of the program.

If you have any additional comments, please feel free to use the space below.

Family Application

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