Host Family - Family Application

Colby | Host Family Program | Application
  Colby College
Host Family Program
Application
11/22/2009

  
Welcome to another academic year and the opportunity to host an international student. Please complete the form below and submit it by September 30, 2007. Thank you.

 
Program Information
 
Have you participated in this program before?     Yes   No
If Yes, what year?    
 
Describe your experience:
 
Would you like to have the same student as last year?     Yes   No
 
Name of student (first, middle initial, last):
 
If your student graduated, would you like to contiue with the program this academic year?     Yes   No
 
Personal Information
 
Name (first, middle initial, last):
 
Do you have children?     Yes   No
 
If Yes, please list names and ages.
 
Do you have pets?     Yes   No
 
If Yes, please list type of pet(s).
 
Do you smoke?     Yes   No
 
Does cigarette smoke bother you?     Yes   No
 
Contact Information
 
Colby Address:
 
Colby email:    
 
Home address:
 
Work Phone Number:
 
Home Phone Number:
 
Preferences
 
What types of recreational activities do you and your family enjoy?
 
What type of student would you like to host?

First-year student
Upper class student
I do not have a preference
 
Would you consider hosting a Language assistant or exchange student (one year only)?

Yes
No
 
Do you have a preference regarding nationality, gender, academic interest, or hobbies and recreation of a student?
 
We will do our best to match you with a student according to your preferences and similar interests. Please share any additional information that you feel is pertinent to matching a student with your family.