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Host Family Application
1
City
2
Parent/Guardian Info
3
Home Address
4
Main Host Student Info
5
Additional Family Members
6
Other Information
7
Hosting Preferences
8
References
Where do you live?
*
Cincy North- suburbs north of Cincinnati
Cincy South & NKY- suburbs east and west of Cincinnati, NKY, etc.
Denver
Rhode Island
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
*
Occupation
*
Age
*
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
*
Occupation
*
Age
*
Please enter a number greater than or equal to
18
.
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
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
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
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
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
*
MM
DD
YYYY
Gender
*
Male
Female
Other
Other:
*
Phone
Please list the student's phone number if they have one, not the parents'. This number will only be provided to the Spanish student or used by Live N Learn during program if we need to contact the student. Write phone number with a +1 before it, so the Spanish student can contact them via WhatsApp or iMessage.
Email
Please list the student's email address if they have one, not the parents'.
Instagram Username
Instagram is a great way for you to connect with your Spanish student and Live N Learn. Please provide your username if you have one so we can give it to your Spanish sibling.
School Name
*
Grade Level
*
Please list 2020-21 grade level.
Is this student studying a foreign language?
*
Yes
No
Foreign Language Teacher
*
Interests
*
Please select all that apply. Press and hold Control (Windows) or Command (Mac) to choose more than one option.
Art
Singing
Traveling
Museums
Movies
Trying new foods
Hiking
Cooking
Watching TV
Reading
Swimming
Dancing
Computers
Theater
Videogames
Hanging out with friends
Camping
Animals
Musical instrument
Sports
Music
TikTok
Skateboarding
Others (Please list below)
List additional interests and hobbies
*
What sports does student like to play or watch?
*
Is there another possible main host student?
*
Yes
No
Main Host Student 2 Information
Host Student Name
*
First
Last
Date of Birth
*
MM
DD
YYYY
Gender
*
Male
Female
Other
Other:
*
Phone
Please list the student's phone number if they have one, not the parents'. This number will only be provided to the Spanish student or used by Live N Learn during program if we need to contact the student. Write phone number with a +1 before it, so the Spanish student can contact them via WhatsApp or iMessage.
Email
Please list the student's email address if they have one, not the parents'.
Instagram Username
Instagram is a great way for you to connect with your Spanish student and Live N Learn. Please provide your username if you have one so we can give it to your Spanish sibling.
School Name
*
Grade Level
*
Please list 2020-21 grade level.
Is this student studying a foreign language?
*
Yes
No
Foreign Language Teacher
*
Interests
*
Please select all that apply. Press and hold Control (Windows) or Command (Mac) to choose more than one option.
Art
Singing
Traveling
Museums
Movies
Trying new foods
Hiking
Cooking
Watching TV
Reading
Swimming
Dancing
Computers
Theater
Videogames
Hanging out with friends
Camping
Animals
Musical instrument
Sports
Music
TikTok
Skateboarding
Others (Please list below)
List additional interests and hobbies
*
What sports does student like to play or watch?
*
Is there another possible main host student?
*
Yes
No
Main Host Student 3 Information
Host Student Name
*
First
Last
Date of Birth
*
MM
DD
YYYY
Gender
*
Male
Female
Other
Other:
*
Phone
*
Please list the student's phone number if they have one, not the parents'. This number will only be provided to the Spanish student or used by Live N Learn during program if we need to contact the student. Write phone number with a +1 before it, so the Spanish student can contact them via WhatsApp or iMessage.
Email
Please list the student's email address if they have one, not the parents'.
Instagram Username
Instagram is a great way for you to connect with your Spanish student and Live N Learn. Please provide your username if you have one so we can give it to your Spanish sibling.
School Name
*
Grade Level
*
Please list 2020-21 grade level.
Is this student studying a foreign language?
*
Yes
No
Foreign Language Teacher
*
Interests
*
Please select all that apply. Press and hold Control (Windows) or Command (Mac) to choose more than one option.
Art
Singing
Traveling
Museums
Movies
Trying new foods
Hiking
Cooking
Watching TV
Reading
Swimming
Dancing
Computers
Theater
Videogames
Hanging out with friends
Camping
Animals
Musical instrument
Sports
Music
TikTok
Skateboarding
Others (Please list below)
List additional interests and hobbies
*
What sports does student like to play or watch?
*
Additional Family Members
Are there additional students living at home?
*
Yes
No
If so, how many?
*
Please enter a number from
1
to
8
.
Name
*
First
Last
Gender
*
Female
Male
Other
Other:
*
Date of Birth
*
MM
DD
YYYY
Name
*
First
Last
Gender
*
Female
Male
Other
Other:
*
Date of Birth
*
MM
DD
YYYY
Name
*
First
Last
Gender
*
Female
Male
Other
Other:
*
Date of Birth
*
MM
DD
YYYY
Name
*
First
Last
Gender
*
Female
Male
Other
Other:
*
Date of Birth
*
MM
DD
YYYY
Name
*
First
Last
Gender
*
Female
Male
Other
Other:
*
Date of Birth
*
MM
DD
YYYY
Name
*
First
Last
Gender
*
Female
Male
Other
Other:
*
Date of Birth
*
MM
DD
YYYY
Name
*
First
Last
Gender
*
Female
Male
Other
Other:
*
Date of Birth
*
MM
DD
YYYY
Name
*
First
Last
Gender
*
Female
Male
Other
Other:
*
Date of Birth
*
MM
DD
YYYY
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.
Additional Information
Will the main host student have a season pass to Kings Island?
*
Yes
No
Maybe
Would you like the Spanish student to get a season pass?
*
We provide Spanish students the opportunity to purchase a season pass at a highly 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.
Will the main host student have a season pass to Elitch Gardens?
*
Yes
No
Maybe
Will the main host student have a season pass to Six Flags?
*
Yes
No
Maybe
Check words that describe your family
*
Please select all that apply. Press and hold Control (Windows) or Command (Mac) to choose more than one option.
Noisy
Quiet
Religious
Outgoing
Reserved
Active
Stay-at-home
Athletic
Affectionate
Intellectual/Academic
Musical
Talkative
Close-knit
Is there any other way you would describe your family?
Does your family practice a religion?
*
Yes
No
Which religion?
*
Do you have any pets?
*
Yes
No
What pets do you have?
*
Does anyone smoke inside the home?
*
Yes
No
Will the host student be working while hosting?
*
Yes
No
How many hours per week?
*
Main host student can work a maximum of 15 hours a week while hosting.
Why is your family interested in hosting?
*
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
Are you available the full four weeks in July? Exact dates TBD
*
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
Can you host for the full time from June 29-July 26?
*
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 in July? Exact dates TBD
*
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.
*
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.
Comments
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