Online Host Family Application

Host Family Application (PDF)

 

 

Online Application

Please answer carefully. This information will be provided to your student to help them know something about your family before their arrival.
Please include a recent photo of your family, an outside photo of your house, an inside photo of your house and a photo of the student room.
If you would like to update an existing application, please use this form.
Please choose:
Prefix

Choose a date or type in with format MM/DD/YYYY

Marital Status
Prefix

Choose a date or type in with format MM/DD/YYYY

Marital Status
Preferred Contact
Please select the fastest method to contact you
Child 1

Choose a date or type in with format MM/DD/YYYY

Living Situation
Child 2

Choose a date or type in with format MM/DD/YYYY

Living Situation
Child 3

Choose a date or type in with format MM/DD/YYYY

Living Situation
Child 4

Choose a date or type in with format MM/DD/YYYY

Living Situation
Foreign Student Preference
Will you accept an outside smoker?
Location
Student Room 2
Location
Student Room 3
Location
Is internet access available from student's room?
Do you have any pets?
Has any of your family ever been convicted of a crime?
Personal References
How did you hear about us?
Referrals

We are always accepting new host families. If you know of any families that may be interested, please let us know. Referral fee will be paid after family hosts a student.

 

 

 

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Hold Harmless Agreement

USA International reserves the right to use its own discretion when accepting prospective host families. Applications that contain erroneous or false information are subject to annulment. USA International and its agents will be held harmless from and against all claims, damages, actions, liability, and expense concerning loss of life, or personal property arising from hosting a student or participating in student programs.