Host Family: Family Application

Program Information
Have you participated in this program before?
If Yes, what year?  
Describe your experience:
Would you like to have the same student as last year?
Name of student (first, middle initial, last):  
If your student graduated, would you like to contiue with the program this academic year?
Personal Information
Name (first, middle initial, last):  
Do you have children?
If Yes, please list names and ages.
Do you have pets?
If Yes, please list type of pet(s).
Do you smoke?
Does cigarette smoke bother you?
Contact Information
Colby Address:
Colby email:  
Home address:
Work Phone Number:  
Home Phone Number:  

What types of recreational activities do you and your family enjoy?
What type of student would you like to host?
Would you consider hosting a Language assistant or exchange student (one year only)?
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.