Host Family Application Form Name * First Name Last Name Email * Address Address 1 Address 2 City State/Province Zip/Postal Code Country Phone (###) ### #### Marital Status MARRIED SINGLE OTHER Name of school you woulld like to host for. Distance from your house to the school. Name of student you would like to host. Occcupation and business name of Primary Contact Occcupation and business name of Secondary Contact List the names, ages and genders of the members in your household. List all pets, if any that are living inside the home. Describe common family activities. Describe your family's past hosting experience.. House style Apartment/townhome Detached Single Family Mobile Home Other Note to the student: Additional information or questions to Gide International Education Thank you!
