Host Family Application

The purpose of the Host Family program is (1) to assist the student in the process of adapting to U.S. culture, (2) to provide the student with adequate room and board, (3) to help the student successfully achieve their academic and personal goals, and (4) to develop a greater sense of cultural appreciation.

Fields marked * are required.

Temporary Housing Upon Arrival (2-5 days)
Special Short-term Program (2-4 weeks)
Long-term Stay (2 + term)

General Information

(If less than 1 year, please list previous address below.)

Please list names of all persons in the immediate family
Name Age Gender Living at Home Relationship
Yes   No  
Applicant's Occupation Information
AM   PM  
Home   Work  
Spouse's Occupation Information
AM   PM  
Home   Work  
Host Family Information
Has your family ever hosted an international student before?*
Yes No

Yes No

Yes No

Yes   No  

Yes No Maybe

Yes No

Yes   No  

Yes   No  

Yes   No  

Yes No Uncertain

School Information

Yes No
Host Family Background
Yes No

Yes No
Further Information
Please indicate your hosting preferences

Male   Female   No Preference

Host Family References

 Reference 1
 Reference 2

Program Agreement

By hosting a student, I agree to
  • Make every effort to make the student feel welcome at home and become part of the family.
  • Encourage independence, but also provide support in adjusting to the US.
  • Treat the student with respect.
  • Understand and appreciate their culture.
  • Provide a safe and comfortable environment.

  •  I/We hereby certify that the information given on the pages of the Host Family Application is true and complete to the best of my/our knowledge.*