Host Family Program Sign-Up Form
Please complete this form if you are very interested in acquiring a host family from our local and surrounding communities.
Prefer to be called
Date of Birth
Country of Residence
Have you visited or lived in the U.S? If so, pleas share the time frame and reason
Religious Affiliation, if any
Allergies or Dietary Restrictions
Favorite foods and drinks?
Do you use alcohol?
Do you use Tobacco?
Do you enjoy interacting with teenagers/children (this does not pertain to babysitting!)
Are you interested in any particular aspects of life in the U.S? If so, what are they?
What else would you like your host family to know about you?
Please explain why you would like to have a host family.
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