Please fill out the form below completely to ensure the best possible match.

Starred items are required– you may type “none” if you have no answer. If you do not get a confirmation message after clicking the submit button please review all fields to be sure they are completely filled.

If you have difficulty with the form you may download and print an application here. Please fax or mail to us and notify us of your difficulty as soon as possible.

Basic Info
Enter host family last name
Enter host father's first name
Enter host mother's first name
Best e-mail address for regular contact
or other secondary number
May we text your cell phone? (Only for last minute updates while hosting.)
Work Information
Host father's occupation
Host Mother's Occupation
Children's Information
mm/dd/yyyy
mm/dd/yyyy
mm/dd/yyyy
mm/dd/yyyy
Please list anyone else living in your home- related or not
Family Information
Does anyone in the home have a special diet? (Vegetarian, Gluten Free, etc.)
Are there any foods you will not serve or eat?
What type of pets do you have, if any?
What type of pets do you have, if any?
Do you consider your home to be
Do you attend church?
Sports, Surfing, Music, etc.
Does anyone speak another language?
Have you hosted an exchange student before?
Will the student share a room?
References
Please enter name & phone number
Please enter name & phone number
How did you find out about us?
Please enter the name of you first choice of students
Please enter the name of your second choice of students
How long can you host?