Host Family Application for Student Exchanges Host Family Application for Student Exchanges Norfolk Sister City Student Exchange you are applying to host:(Required) Wilhelmshaven, Germany Toulon, France Name of Host Parent or Guardian(Required) First Last Email of Host Parent or Guardian(Required) Enter Email Confirm Email Best Phone of Host Parent or Guardian(Required)Occupation of Host Parent or Guardian(Required)Name of Host Parent #2 or Guardian #2 First Last Email of Host Parent #2 or Guardian #2 Best Phone of Host Parent #2 or Guardian #2Occupation of Host Parent #2 or Guardian #2Are there any other adults living in the home? If yes, then please list their name(s).(Required)Address of Host Family(Required) Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Name of Host Student(Required) First Last Date of Birth(Required) MM slash DD slash YYYY Age(Required)Please enter a number from 0 to 20.Grade(Required)Please enter a number from 9 to 12.School(Required)Host Student's Interests/ Hobbies/ Activities(Required)List the ages of Host Student's Siblings(Required)Do you have any pets? If so, please describe.(Required)Dietary constraints (for example is your family vegetarian?)(Required)Allergies of anyone in the home(Required)Smoking or Non-Smoking Home(Required) Smoking Non-Smoking Do you have a gender preference for the student guest? If so, please describe.(Required)Are you able to provide a private bedroom for the student guest?(Required) Yes No Religion (Optional)Are you comfortable hosting a guest of a different religion? (Optional) Yes No N/A Describe any knowledge of foreign languages or foreign languages spoken in your home. (Optional)Describe any previous International Living/ Travel/ Hosting(Required)Consent As a host family, we are willing to accept in our home, people who may be of another race or religious preference, who may not speak our language, and who may have customs with which we are unfamiliar. We agree to provide, to the best of our ability, a safe, comfortable and welcoming environment for our exchange guest(s). All members of the household, age 18 and above, will consent to comprehensive background checks paid for by Norfolk Sister City Association. Also, we consent to a home inspection by Norfolk Sister City Association.
