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Host Family Application
1
City
2
Parent/Guardian Info
3
Home Address
4
Main Host Student Info
5
Additional Information
6
Hosting Preferences
7
References
Where do you live?
*
Cincy North- suburbs north of Cincinnati
Cincy South & NKY- suburbs east and west of Cincinnati, NKY, etc.
Columbus
Denver
Rhode Island
Atlanta
Kalamazoo
Parent/Guardian 1 Information
Parent/Guardian 1 Name
*
This will be the primary contact of Live N Learn.
First
Last
Relationship to Host Student
*
Mother
Father
Other
Other
*
Parent/Guardian 1 Email
*
Enter Email
Confirm Email
Parent/Guardian 1 Mobile Phone
*
Is there a second parent/guardian in the home?
*
Yes
No
Parent/Guardian 2 Information
Parent/Guardian 2 Name
*
First
Last
Relationship to Host Student
*
Mother
Father
Other
Other
*
Parent/Guardian 2 Mobile Phone
*
Parent/Guardian 2 Email
*
Enter Email
Confirm Email
Would Parent/Guardian 2 also like to be included in group communications?
*
Yes
No
Home Address
Home address where international student will be staying?
*
Street Address
Address Line 2
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Main Host Student Info
Hosting is a family endeavor and all family members will interact with the Spaniard; however, the “main” host student is the one who will be the same gender and around the same age as the Spanish student. They will be matched based on interests, personalities, hobbies, etc. Please provide information for all possible main host students ages 12-18.
Main Host Student Name
*
First
Last
Date of Birth
*
Month
Day
Year
Gender
*
Male
Female
Other
Other:
*
Student Phone Number
School Name
*
Grade Level
*
Please list 2022-23 grade level.
Is this student studying a foreign language?
*
Yes
No
Foreign Language Teacher
*
Briefly describe your students's interests and hobbies. Do they do any sports, extracurricular activities or specific hobbies?
*
Is there another possible main host student?
*
Yes
No
Main Host Student 2 Information
Host Student Name
*
First
Last
Date of Birth
*
Month
Day
Year
Gender
*
Male
Female
Other
Other:
*
Student Phone Number
School Name
*
Grade Level
*
Please list 2022-23 grade level.
Is this student studying a foreign language?
*
Yes
No
Foreign Language Teacher
*
Briefly describe your students's interests and hobbies. Do they do any sports, extracurricular activities or specific hobbies?
*
Is there another possible main host student?
*
Yes
No
Main Host Student 3 Information
Host Student Name
*
First
Last
Date of Birth
*
Month
Day
Year
Gender
*
Male
Female
Other
Other:
*
Student Phone Number
School Name
*
Grade Level
*
Please list 2022-23 grade level.
Is this student studying a foreign language?
*
Yes
No
Foreign Language Teacher
*
Briefly describe your students's interests and hobbies. Do they do any sports, extracurricular activities or specific hobbies?
*
Additional Information
Please list any additional people not yet listed in this application who are living at the home along with their age, gender and relationship to the family.
*
Does your family have any pets? If so, please describe below.
*
Why is your family interested in hosting?
*
Will the main host student have a season pass to Kings Island?
*
Kings Island is a local amusement and water park in Mason, Ohio.
Yes
No
Maybe
Will the main host student have a season pass to Elitch Gardens?
*
Elitch Gardens is a local amusement park in Denver, CO.
Yes
No
Maybe
Will the main host student have a season pass to Six Flags?
*
Yes
No
Maybe
Would you like the Spaniard to purchase a season pass?
*
We provide Spanish students the opportunity to purchase a season pass to the amusement park at a discounted rate. If you go three times while hosting (we will go once as a group), it will be worth it for them to buy a pass.
Yes
No
Maybe
T-Shirt Sizes
*
Please let us know the t-shirt sizes for anyone in your family who would like a t-shirt. (They’re super soft! 😉).
Type in the number of t-shirts you need in each size. T-shirts come in Children’s sizes and Adult Unisex sizes. Add the size, the quantity and then click on the + button to add a different size and quantity.
Size
Quantity
Hosting Preferences
Preferred gender of Spanish student
*
Male
Female
Indifferent
Preferred age of Spanish student
*
From Age
To Age
Which hosting program are you interested in?
August 2023
July 2023
Are you available the full four weeks: JULY 2023 (Jun 28 – Jul 26) or AUGUST 2023 (Aug 18 – Sept 16)?
*
Students are able to travel with your family or participate in camps with your kids. Please inquire! Families who are available for the full month will be given preference if a match is available.
Yes
No
Maybe
Are you available the full four weeks: JULY 2023 (Jun 25 – Jul 15) or AUGUST 2023 (Aug 18 – Sept 16)?
*
Students are able to travel with your family or participate in camps with your kids. Please inquire! Families who are available for the full month will be given preference if a match is available.
Yes
No
Maybe
Are you available the full four weeks: June 29 – July 27
*
Students are able to travel with your family or participate in camps with your kids. Please inquire! Families who are available for the full month will be given preference if a match is available.
Yes
No
Maybe
Are you available to host the full four weeks? June 29 – July 28
*
Students are able to travel with your family or participate in camps with your kids. Please inquire! Families who are available for the full month will be given preference if a match is available.
Yes
No
Maybe
Are you available the full four weeks: June 30 – July 27?
*
Students are able to travel with your family or participate in camps with your kids. Please inquire! Families who are available for the full month will be given preference if a match is available.
Yes
No
Maybe
Please tell us about your availability. Do you have any trips planned? International students are able to travel with your family.
*
How did you hear about our program?
*
Do you know of another family who would possibly like to host an international student?
If so, please provide us with their name and contact info.
Additional comments/requests/etc.
References
Please provide us with 2-3 references who have been in your house within the past year. At least one must be a non-family member.
Reference list
*
First
Last
Phone
Relationship
Thanks for applying to become a Live N Learn host family! A representative will be in touch with you via phone or email within the next 5 business days in order to set up an in-home interview to meet your family.
Email
This field is for validation purposes and should be left unchanged.
