How did you find out about us —Please choose an option—Word of mouthSocial mediaEmailSTEP Language Services websiteOther
Pick a location —Please choose an option—Palm Beach and Broward CountiesEastern Massachusetts, Central & Southern New HampshireSouth Eastern Massachusetts, Cape Cod, Northern Rhode IslandBrattleboro, VT; southern Vermont, western Massachusetts, western New HampshireSt Augustine Florida
Parent Details #1
Single Parent Household Yes
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Parent Details #2
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Other family member information:
Which members of your family will spend the most time with your student?
Which of the activities below do you enjoy?
Classical musicListen to recorded musicWatch TVGo to moviesDanceGo out with friendsGo to concertsPhotographyPaint/drawSingReadGo shoppingAttend cultural eventsPlay indoor gamesTravelCookHave family discussionsHandcraftsBaseballBasketballFootballAerobicsTennisSoccerSwimmingHikingVideo GamesGymnasticsSkiingIce SkatingTrackAthleticsBicyclingVolleyballCamping
Anything else
What does your family do on a typical weekday?
What does your family do on a typical weekend?
What is the most important activity your family is involved in?
Comments
Sleeping arrangements for student: (own room or shared room) If so, with whom? *
Religion (if any):
Attend services regularly? *
Would you expect the visiting student to attend services with you? (Yes/No/Occasional) *
Do your children have a curfew? (Yes/No). Please explain:*
Do you follow a special diet (vegetarian, etc)? (Yes or Not). If so, please explain*
Health limitations of any family members? (Yes/No) If so, please explain:*
Has anyone in your family ever been arrested or convicted of any felony? (Yes/No) If so, please describe the circumstance:*
Pets / animals in or on your property:*
Other foreign languages spoken by family members (if any):*
Foreign countries visited (if any):*
Have you ever hosted an international exchange student before? (Yes/No) If so, please explain*
Why are you interested in hosting?*
Submit
Date Of Birth
Nationality
Sex MaleFemale*
Do you smoke? YesNo
Can you swim? YesNo
Anyallergies, illnessesordisorders?
Language level ElementaryIntermediateAdvanced
Country
Course Dates
