Host Family Application
Thank you for your interest in becoming a host family! We truly appreciate the support for our language ambassador program. Please complete the questions below. Your responses will assist us in the placement of the language ambassador that best fits your family. Please contact hostfamilies@mylila.org for assistance or questions. Thank you!
Email address *
Which program are you interested in? *
Which term are you interested in hosting? *
Do you have a gender preference? *
Head of Household #1 *
Your answer
Head of Household #2 *
Your answer
Home Address *
Your answer
Phone Number (Home)
Your answer
Phone Number (Cell) *
Your answer
Are there any other adults living in the home? *
Children - **Please list Name, Gender, Age, and Teacher (if applicable) for all children** *
Your answer
Are you willing to host a smoker? *
Does your family adhere to any dietary restrictions? (e.g. gluten-free, vegan, etc) Please be specific. *
Your answer
Does your family participate in any religious activities that would affect your language ambassador? (e.g. do you attend church weekly?) *
Does your family have any pets? If so, please elaborate. (e.g. animal, breed, age, size, etc) *
Your answer
Please tell us at least five activities that your family enjoys most, including what you like to do in your free time. Being specific assists us in the placement of the language ambassador that you may have in your home. *
Your answer
What do you hope to gain in hosting a language ambassador? *
Your answer
What do you hope the language ambassador will gain from living with your family? *
Your answer
Is there anything else you wish to share regarding your family when considering the placement of an ambassador in your home? *
Your answer
Some language ambassadors come to us with a drivers license and feel comfortable driving while in MN. *
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