Prospective host family
Information to be filled in by new host families.

Objectives: This form is a registration form designed to list you as a potential host family in the future and does not in any way constitute a guarantee that you will receive a proposal for a student placement. We may contact you in the near future depending on the suitability of the information registered.
Mother's first name and surname *
Your answer
Mother's mobile number *
Your answer
Mother's email address *
Your answer
Father's first name and surname *
Your answer
Father's contact details (mobile and email)
Your answer
Parents' profession *
Please state your profession and give a brief outline of your schedule.
Your answer
Address *
Your answer
Phone number (landline)
Your answer
Children
Please indicate their names, dates of birth and if they are living at home.
Your answer
Others living in the house (aupair, other host students, pets, etc.)
Your answer
Have you already hosted a student ? If yes, could you describe the circumstances?
Your answer
What would be the most suitable student profile for your family (male or female, age and personality) *
Please specify if you would accept a student aged 14 years old. Our students are aged from 14 to 18 years.
Your answer
Facilities available for students
Please indicate the type of room, size (square meters), bathroom facilities and any details about your house and surroundings.
Your answer
How do you and other members of your family like to spend your free time? (sports, activities, etc.) *
Your answer
What kind of activities could you offer your student to join with you or your family?
Your answer
Any other information that you judge useful ? *
Special diet, smokers in the family, habits in the family , etc.
Your answer
Please give us details for two references for your application *
Your answer
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy