(TUFI) Host Family Application
Email address
Contact Information:
1. Family Name
Your answer
2. Address
Your answer
3. Preferred primary phone number / Secondary phone number
Your answer
4. Preferred primary e-mail address / Secondary e-mail address
Your answer
Preferences Regarding International Visitor/s
5. Gender
6. World Region/Country
Your answer
7. Language/s
Your answer
About Home & Family
8. Have you hosted before?
9. Number of visitors you could accommodate
10. Visitor accommodation is
10-1. and includes
11. I have the following pets
12. Smoking is
13. Has any member of your family ever been convicted of a crime?
13-1. If yes, please explain
Your answer
14. Please briefly describe any special hobbies, interests, spiritual affiliations, particular sports or activities your family enjoys
Your answer
Please complete the following information for each member of your family
Family Member Name / Relationship / Age / Country of Birth / Language Spoken / Allergies
Your answer
Do you have any dietary restrictions?
Your answer
Please indicate your availability - Time of Year (Season)
Yes
No
Summer session (May - August)
Fall term (September – December)
Winter term (January)
Spring term (February – May)
Please indicate your availability - Duration of Homestay
Yes
No
Less than One day (Family dinner at home)
Short Experience (2 – 3 day/weekend)
One week
Two weeks
Three or more weeks
Agreement
Towson University reserves the right to use its sole discretion when selecting prospective host families for international students (the “Program”). Providing erroneous or false information on this application will be grounds for rejecting your application, or if you are accepted, for your removal from the Program.

I understand and expressly assume all risks associated with the Program, and I hereby release, waive, discharge and covenant not to sue Towson University, the University System of Maryland, the State of Maryland, and their officers, agents, servants, and employees (collectively, the “Releasees”) from all liability, claims, demands, actions or causes of action whatsoever arising out of any damages, loss, or injury to me or to my property as a result of the Program. I hereby agree to indemnify and hold harmless the Releasees from any loss, liability, damage, or costs, including court costs and attorneys’ fees, that they may incur due to my participation in the Program.

Electronic Signature (Type your full name)
Your answer
Submit
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