Host Family Application Form
General Information
Family Name (*)
Invalid Input
We ant to host (*)
Invalid Input
 Age
Invalid Input
   
Father's Name
Name (*)
Invalid Input
Occupation
Invalid Input
 Work Phone
Invalid Input
 Cell Phone
Invalid Input
Mother's Name
Name (*)
Invalid Input
Occupation
Invalid Input
 Work Phone
Invalid Input
 Cell Phone
Invalid Input
   
Home Address
Invalid Input
City
Invalid Input
 State
Invalid Input
 Zip Code
Invalid Input
Phone
Invalid Input
 Fax
Invalid Input
E-Mail
Invalid Input
Religion
Invalid Input
  
   
Children
Name Age Gender School
Invalid Input
Invalid Input
Invalid Input
Invalid Input
Invalid Input
Invalid Input
Invalid Input
Invalid Input
Invalid Input
Invalid Input
Invalid Input
Invalid Input
Invalid Input
Invalid Input
Invalid Input
Invalid Input
Invalid Input
Invalid Input
Invalid Input
Invalid Input
   
Parish or church we attend
Invalid Input
Languages spoken at home
Invalid Input
Race
Invalid Input
Parents of the host student are:
Invalid Input
Host Child Information
Name
Invalid Input
Gender
Invalid Input
Age
Invalid Input
Date of Birth
Invalid Input
School
Invalid Input
Grade
Invalid Input
Religion
Invalid Input
Gets to School By
Invalid Input
Additional Information
Interests and Hobbies
Invalid Input
Pets at Home
Invalid Input
Recreational Activities your family participates in
Invalid Input
Things you do on weekends or places you go to
Invalid Input
Relatives or persons that live in your home
Invalid Input
Reasons Why you would like to have an Exchange Student in your home this year
Invalid Input
Please list additional interests, hobbies, collections, sports, musical instruments, or any other personality traits you feel are important to help in the matshing process
Invalid Input
Requests for which you want priority given during the matching process
Invalid Input
How did you find out about this program?
Invalid Input
Submit   

Information 2010

  • General Information

    The most important information about this year's exchange

    Read more...

  • Calendar

    Information of the most important dates of the year

    Read more...

  • Cost

    Details of the costs of the exchange program

    Read more...

Comments

From the Girard family, we are very thankful for coordinating the Exchange.

Read more...