Host Family Application for Adult Exchange Host Family Application for Adult Exchanges Norfolk Sister City Student Exchange you are applying to host:(Required) Ukraine delegation: April 4-11, 2025 Name of Family(Required)Address(Required) Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Internet Connection(Required) Dialup Cable/DSL Wi-fi None Family Member(s) (click the + at the end of the row to add additional family members)(Required)NameBest Email AddressBest Phone NumberGenderAgeOccupationInterests/Hobbies/Activities Add RemoveDescribe any knowledge of foreign languages & foreign languages spoken in your home.Religion (optional)Are you comfortable hosting a guest of a different religion? (optional) Yes No N/A Allergies(Required)Dietary restrictions(Required)Smoking or Non-Smoking Home(Required) Smoking Non-Smoking Describe any pets in your home(Required)Previous International Living/ Travel/ Hosting(Required)Do you have a gender preference for your guest(s)? If so, please describe.(Required)Are you able to accommodate couples?(Required) Yes No Are you able to provide private bedroom(s) for your guest(s)?(Required) Yes No Will your guest(s) have a separate bathroom? If no, please explain with whom your guest will be sharing.(Required)Do you have potential interest in maintaining contact with your assigned delegate(s) through joint projects, ad hoc and/or formal organization-to-organization ties, or regular communications?(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 background checks paid for by Norfolk Sister City Association. Also, we consent to a home inspection by Norfolk Sister City Association.
