May 16, 2016

Application Form For Families

Your Name (required)

Your Email (required)

Home phone number

Work or cell phone number

Street Address

Name of home church (if applicable)

Type of family

Ages of children at home (if applicable)

Do you have any pets, and if so what kind(s)?

Work and/or educational background

Languages spoken (other than English)

Travel experience (outside North America)


How many students would you like to connect with? (Ideally, we pair you with two students)

Student preferences (if any)

How did you find out about Home Away From Home?

Is there anything else we should know about you?