JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Buddy Family
This questionnaire is for families that would like to be considered as Buddy Families for the Language Ambassadors and their current host families. Please complete the questions below:
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Name:
*
Your answer
Address:
*
Your answer
Email:
*
Your answer
Phone:
*
Your answer
Would you like to be a Buddy Family during Fall or Spring semester?
*
Fall
Spring
Both
Would you prefer a Chinese or Spanish Language Ambassador?
*
Chinese Ambassador
Spanish Ambassador
No preference
Would you prefer a Male or Female Ambassador?
*
Male
Female
No preference
Would you be willing to help an LA with transportation?
*
Yes
No
Other:
How much time can you donate to a language ambassador per month?
*
only once
2-3 times a month
every week
all the time
call me, maybe?
Does your family have a language preference?
*
Spanish
Chinese
No
Do you have any pets in your home?
Your answer
Are you able to provide a Private bedroom?
*This is not a requirement to be a buddy family*
Yes
No
Other:
Clear selection
This section is for any additional information about your home life that you would like to elaborate on:
Your answer
What activities does your family enjoy?
*
Your answer
What would you like to bring a Language Ambassador to do with you?
*
Your answer
Would you be interested in being a Host Family in the future?
*
Yes
No
Maybe, send me more information
Other:
Required
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Lakes International Language Academy.
Does this form look suspicious?
Report
Forms
Help and feedback
Contact form owner
Help Forms improve
Report