Host Application

How did you hear about us (if from school, please note which school)?

What is your religious affiliation?

How often do you attend services?

Is it important that your student attend with your family?

What type of area do you live in?

List pets and whether they are indoor or outdoor.

Is smoking allowed?

Does anyone in your family smoke?

Has anyone been convicted of a felony or driving while intoxicated? (if yes, please explain)

Provide three references (no relatives please) who know your family well (these are required for all programs):

Reference #1
Name: Phone:
Email:

Reference #2
Name: Phone:
Email:

Reference #3
Name: Phone:
Email:

Who filled out this application?

Is there anything you would like to add?

ANDEO HOST FAMILY APPLICATION


	Thank you for your interest in hosting an exchange student with Andeo! After we receive your application, we will begin processing it right away, and someone will call you to schedule an interview with you in your home. If you prefer, you can download a printable hosting application here (PDF)

Student Nationality:

  No Preference
  French
  Italian
  Japanese
  Korean
  Spanish
  Saudi
  German
  Taiwanese
  Vietnamese

Program Type:

  No Preference
  Homestay Immersion (Homestay Only/ 3-5 weeks)
  Homestay Study (Homestay + Classes/ 1-5 weeks)
  Long-term (Portland/Vancouver Area/ 3+ months)

Student Gender:

  No Preference
  Prefer a girl, but will take a boy
  Male only
  Female only

Program Dates

  Any Time
  Fall Term
  Winter Term
  Spring Term
  June
  July
  August
  September
  February
  March
  April

Student Age Range: Other Requests?:

Home Address:
City:
State: Zip:

Home Phone:

Full name (please note male or female)

Occupation

Work phone number

Cell phone number

Email address *

*required

Name of Child          Birthdate          M/  F     At Home(Y/N)    Main Interests    School
Name of Child          Birthdate              M/F        (Y/N)       Main Interests

If you have teens at home, what school do they attend?

(Please check all activities that your family might participate in during your student's stay)


	Swimming Basketball Jogging Reading Water Sports Tennis Skateboarding Concerts Golf Football Biking Painting/Drawing Horse Riding Volleyball


	Photography Cooking Baseball Walking Movies Shopping Soccer Camping Theater Board Games Hiking Museums Computers Video Games


	Music (specify type) Dance (specify type) Musical Instruments (specify type) Clubs/Organizations (specify type) Winter Sports (specify type) Other (specify type)