Host Family Application

Please fill out the form below completely to ensure the best possible match.

Starred * items are required, you will not be able to proceed to the next page if they are not all filled in- you may type “none” or “na” if you have no answer.

Once you click on “Submit Application” you should be taken to a confirmation page and receive a confirmation e-mail.

If you have difficulty with the form you may download and print an application here. Please fax or mail the application to us and notify us of your difficulty as soon as possible.

Basic Info

Basic Info
Host Family Contact Info
Enter host family last name
Enter host father's first name
Enter host mother's first name
Best e-mail address for regular contact
or other secondary number
May we text your cell phone? (Only used for last minute updates while hosting.)
Work Information
Host Father's Occupation
Host Mother's Occupation
Children's Information
Other
Please list anyone else living in the home whether related or not.

Family Info

Family Info
Does anyone in the home have a special diet? (Vegetarian, gluten free, etc)
Are there any foods that you will not serve or eat?
What type of indoor pets do you have, if any?
What type of outdoor pets do you have, if any?
Do you consider your home to be:
Do you attend church regularly?
Surfing, sports, music, etc.
Does anyone in the home speak a language other than English? If so, what?
Have you hosted an exchange student before?
Will the student share a room?

References, Student Info

References
Please enter name & phone number
Please enter name & phone number
How did you find out about us?
Student Info
Please enter the name of your first choice of students
Please enter the name of your second choice of students
How long can you host? (You may check more than one.)