HSY – host family profile

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Parent/Guardian 1 Information

Parent/Guardian 1 Name*

Parent/Guardian First Name Parent/Guardian Last Name

Relationship to Host Student*

Other*

Occupation*

Parent/Guardian 1 Mobile Phone*

Parent/Guardian 1 Email*

Enter Email Confirm Email

Is there a second parent/guardian in the home?*

Parent/Guardian 2 Information

Parent/Guardian 2 Name*

First Last

Relationship to Host Student*

Other*

Occupation*

Parent/Guardian 2 Mobile Phone*

Parent/Guardian 2 Email*

Enter Email Confirm Email

Additional Family Members

Are there additional family members living at home?*

If so, how many?

Name*

First Last

Gender*

Date of Birth*

Name*

First Last

Gender*

Date of Birth*

Name*

First Last

Gender*

Date of Birth*

Name*

First Last

Gender*

Date of Birth*

Name*

First Last

Gender*

Date of Birth*

Name*

First Last

Gender*

Date of Birth*

Name*

First Last

Gender*

Date of Birth*

Name*

First Last

Gender*

Date of Birth*

Name*

First Last

Gender*

Date of Birth*

Home Address

Home address where international student will be staying.*

Street Address Address Line 2 City State ZIP Code

Family Photo*

Please upload at least two photos taken within the last 6 months that includes all members of your family.

Drop files here or

Max. file size: 5 MB.

Caption*

Please list who is who in the photo.

Home Photo*

Please upload a photo from the outside, of the front of your home.

Drop files here or

Max. file size: 5 MB.

Backyard Photo*

Please upload a photo of the backyard.

Drop files here or

Max. file size: 5 MB.

Kitchen Photo*

Please upload a photo of the kitchen.

Drop files here or

Max. file size: 5 MB.

Living Room Photo*

Please upload a photo of the living room.

Drop files here or

Max. file size: 5 MB.

Basement Photo*

Please upload a photo of the basement.

Drop files here or

Max. file size: 5 MB.

Student Bathroom Photo*

Please upload a photo of the bathroom the student will use.

Drop files here or

Max. file size: 5 MB.

Additional Photos

Please upload any additional photos you would like to include.

Drop files here or

Max. file size: 5 MB.

Letter to Student*

Please write a letter welcoming your student to your home and state why you are excited to be a host family and some things you are excited to do together.

HSY – host family profile

High School Year – Host Family Profile

Parent/Guardian 1 Information

Parent/Guardian 2 Information

Children Information

Child 2 Information

Additional Family Members

Home Address

Home Address

Additional Information

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