2019 Haitian Initiative Host Family Interest Form
Thank you for your interest in hosting boys from this year's Haitian Initiative Exchange Program. The only requirements to host are: your ability to provide for two additional members of the family including separate beds; offering a supportive safe and secure environment; helping your two guests adapt to your family and to U.S. life and culture; and of course helping them to participate in this year's USA Cup! If you can do all of those things, please provide us with the following information to help us find warm and welcome host families for our guests from Haiti.
Email address *
Contact Phone Number *
Your answer
Family Name (Last Name) *
Your answer
Given Name (First name) *
Your answer
Home Address (Street) *
Your answer
City *
Your answer
State *
Your answer
ZIP *
Your answer
Partner/Spouse Name (If Any) *
Your answer
Age Group Preference *
Number of Children Living At Home? *
Your answer
Age/s of children? *
Your answer
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