New Host Family Application Form
Email address *
In which hosting opportunities are you interested? *
Required
Comments:
Date of application *
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How did you hear about GlobalPittsburgh? *
Your Name *
Home Phone
Cell Phone *
Street Address *
City *
State *
ZIP Code *
Date of Birth *
Marital Status: *
Do you have children?: *
If employed, your current employer: *
Title: *
Regular Work Schedule and Hours *
Work address
Phone:
Education *
What are your hobbies and interests? *
What languages do you speak besides English?
If you have traveled internationally, what countries have you visited/lived in?
What type of cuisine do you generally prepare for dinner (American, Asian, Italian, Kosher, vegetarian, vegan, etc.)?
Does your family have any food sensitivities or allergies? *
If yes, please explain so that we may inform your potential guests
Is your home accessible by public transportation? *
Please explain your answer (e.g., closest bus or T stop)
Would you prefer to host: *
What is the minimum age of a guest that you will be willing to host? *
Are there any restrictions of which you would like us or your guest to be aware?
Does your family have (a) cat(s)? *
If yes, how many, breed, etc.?
Does your family have (a) dog(s)? *
If yes, how many, breed, etc.?
Do you or any member of your family smoke? Please note, if you or any family member smokes inside the house we will not be able to place students with you. *
Would you host a student who smokes? *
Do you have wifi in your home? *
Will the student have a private bathroom? *
Will laundry facilities be available to your guest? *
List any other facilities that will be available for your guest to use
How many bedrooms are available for your guest(s)? *
How many guests can you host at the same time? *
Starting on January 1, 2020, our monthly rates for hosting homestays (overnight guests) are $530 with no meals; $700 with breakfast and dinner; $780 with breakfast, dinner and a packed from home lunch. Please refer to a host family guidebook for more information about the meals requirement. Please check all options that you would consider: *
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