Address:

Town:

Postal Code:

Email

Additional Family Members

1. Name

1. Age

1. Identify as:

Male / Female / Prefer not to say

1. Grade / Occupation

2. Name

2. Age

2. Identify as:

Male / Female / Prefer not to say

2. Grade / Occupation

3. Name

3. Age

3. Identify as:

Male / Female / Prefer not to say

3. Grade / Occupation

4. Name

4. Age

4. Identify as:

Male / Female / Prefer not to say

4. Grade / Occupation

If yes, what kind?

If yes, please explain:

Is anyone in your family on sports teams?

Does anyone belong to clubs/organizations?

What kind of music does your family listen to?

How are family responsibilities handled?

Discuss household chores, transportation arrangements, family activities, preparing meals etc.

Are you prepared to provide additional transportation needs for your exchange student?

Why are you interested in hosting an international student?

Host Family Application