Arlington Sister City Association (ASCA): Application to Host & Student Pairing Questionnaire
Arlington-Reims High School Exchange, Lycée Marc Chagall - Help us match you with a student from Reims!
Please note that most pairings are done based on allergies, pet issues and having appropriate sleeping arrangements. After we work on those issues, then we try to match students based on other interests.
Email address *
Students should complete this application with their parents.
Student Last name *
Your answer
Student First name *
Your answer
Gender of Arlington student *
Have you previously hosted a student through the ASCA Arlington-Reims Exchange? *
Student email *
Your answer
Student cell phone *
Your answer
Student age *
Your answer
Student birth date *
MM
/
DD
/
YYYY
Parent #1 Name (first name, last name) *
Your answer
Parent #1 Email *
Your answer
Parent #1 Cell phone *
Your answer
Parent #1 Complete Street Address *
Your answer
Parent #1 City and Zip Code *
Your answer
Parent #2 Name (first name, last name)
Your answer
Parent #2 Email
Your answer
Parent #2 Cell phone
Your answer
Parent #2 Complete Street Address (if you plan on hosting student at this address also)
Your answer
Will you host the French student in one home during the duration of the stay? *
If your parents/guardians live separately, please explain what the split of time between the homes will be. What will your schedule be during the week and on the weekends, in general?
Your answer
School-related information
Current High School *
What is your current grade level in school? *
Are you currently studying French? *
Have you previously studied French? *
Important information for pairing up students
Would you prefer to host... ? *
Required
Do you have any pets? Check all that apply *
Required
Do you have siblings who live with you? *
Are you or is anyone in your family a smoker? *
Is your family willing to host a student who smokes? *
Does anyone in your family have any food allergies or requirements? Check all that apply. *
Required
Would your family be willing to host a student with food allergies? *
A few families who want to host are concerned they might have a conflict, such as a band or orchestra trip. Do you have any conflicts during the dates of April 4 - 16? If so, please explain, and we will see what we can do about pairing you up with another family to help out.
Your answer
To get to know each other
Pick 3 or more of your favorite weekend activities *
Required
How would you rate your personality type? *
Highly Introverted
Highly Extroverted
How talkative are you? *
I speak when someone asks me a question.
I can't stop talking!
What are your favorite subjects in school? *
Your answer
What is your favorite music? (Please give examples) *
Your answer
What are your favorite extracurriculars (e.g., sports, choir, band, theater, chess....)? *
Your answer
Please write a brief paragraph in English to tell about yourself, your family, or why you would like to host a student from Reims. *
Your answer
For parents and students: I understand the following: *
Required
Parents and students who are interested in hosting, but who may have a conflict, please elaborate here. Let us know when you CAN host, and when you might NOT be able to do so. We will be in touch with you. *
Your answer
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