Face The World - Host Family Application Form

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HOST FAMILY APPLICATION FORM

Face The World is looking for stable and nurturing host families interested in hosting an exchange student. We have representatives throughout the U.S. and will arrange an interview with someone in your area. Single parents with children and elderly couples are welcome to apply. Please complete the survey form below and you may have a new face in your family! When you are finished, click the "Submit" button at the bottom to send us your form. Contact us by email if you have additional questions.

Family Information

Family Name:

High School:

Address:

State:

Zip:

Phone:

Fax:

e-mail:

Father Information

First Name:

Age:

Occupation:

Mother Information

First Name:

Age:

Occupation:

Children Information

	Name of child	Age	Gender	Interests/Hobbies	In Home?
1st
2nd
3rd
4th
5th

Additional Information

Pets:

If yes, what kind:

Family Interets, Hobbies:

Community Description:

Special Requirements:

Type of student your family would prefer:

Age:		Nationality:
Gender:		Duration:

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