Sign Up Today to Live With An American Family
The first step is to complete our Placement Application below. If you prefer, you may also download (MS Word Format , PDF Version ) or print (Printable Version ) the form to be mailed or faxed at a later date. Please complete the form below. We look forward to working with you.
The first step is to complete our Placement Application below. If you prefer, you may also download (MS Word Format , PDF Version ) or print (Printable Version ) the form to be mailed or faxed at a later date.
Please complete the form below.
We look forward to working with you.
HOST FAMILY PLACEMENT APPLICATION
Name: (first) (family) Date:
Age: Sex: Male Female
Country:
Email Address: Phone Number:
Fax Number:
Address in Home Country:
Arrival Information Airline: Flight #:
Date of Flight: Time of Arrival:
( Unless otherwise notified, we will pick you up at the airport !! )
Which School or University Will You Attend (If Any):
Do You Smoke? No Yes ( If "Yes", Can You Smoke Outside? No Yes )
Can You Live With a Family that has a Dog Inside? No Yes
Can You Live With a Family that has a Cat Inside? No Yes
Can You Live With a Family that has Small Children (under Age 10)? No Yes
Who Do You Want Food Provided By? Host Family Yourself
Which Date Will Be Your First Day of Homestay?
Which Date Will Be Your Final Day of Homestay?
What Form of Transportation Will You Use? Car Public Transportation Other
Other Information (Please Let Us Know If You Have Any Special Requests, Requirements or Restrictions):
What is the Best Time to Reach You?:
What is the Best Way to Reach You?:
