Host Home Application

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Thank you so much for your willingness to open your home and invest in the next generation of ministry leaders!

Your generosity provides more than just a place to stay; it creates a supportive environment where an intern can be discipled and encouraged as they grow in their faith.

Summer term dates: May 24-July 26

We will be in touch soon to discuss the next steps!

Full Name *

Primary Phone Number *

Email Address *

Home Address *

Home and Accommodations

What type of space do you have available? (e.g., Guest room, finished basement, etc.). *

How many interns are you able to host at once? *

Are you able to provide a private room for the intern? *

yes

Are you able to provide shared or private bathroom access? *

yes

Are you willing and able to provide occasional meals for the intern? *

yes

Availability and Timeline

Which internship term(s) are you available to host? *

Summer (May 24 – July 26)

Fall (Begins August 23)

Spring (Begins January)

Required

Are there any specific dates during these terms when you would be unavailable to host? *

Discipleship

Why do you feel called to host an intern? *

Lifeline aims to find hosts who will intentionally mentor and spend time with their intern. How do you envision integrating an intern into your daily family life?
*

Do you have any pets or specific house rules an intern should be aware of? *

References and Verification

Do you feel comfortable taking a background check? *

Yes

Are you a regular attender or member of Lifeline? *

Yes, I attend on average 2 times a month

No, I average attending less than 2 times a month

Please provide the name of a character reference (non-family member) along with a phone number. *

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