* Required

The phone numbers on this form will be used for 24 hour emergency contact while you are hosting.


Student Information

Home Address

Parent information

Home Address
Home Address (if different than above)

Get Acquainted Information

Student's Interests

Personal Habits and Preferences

It is a requirement that the visiting student has his/her own bed.  It is not a requirement to have his/her own room.

International Experience

Please provide an email address where we can send a link to your current form.

Email Address :