Application to be a Host Family

Application to be a Host Family

School Break Homestay Program
Interlochen Arts Academy is seeking School Break Host Families.

Thank you for your interest in applying to be a host family. Please complete this application to indicate your interest. To submit your application, you'll also need to download and sign the Host Family Liability Agreement, and upload the signed document at the bottom of this page.

Please be aware that all adults in your home are required to sign up as Interlochen Center for the Arts volunteers, and complete our background check process.

All questions are intended to identify the best match for you and your family. By submitting this application, you agree to host a student regardless of gender, race, national origin, age, religion, sexual identity, or political background.
I am:*

ready to commit to hosting a student.considering participating, but not sure I can commit yet.
In accordance with Interlochen's school licensing requirements, all adults (18 and older) in my home agree to:*

fingerprinting, criminal background check, Department of Health and Human Services clearance
What is your connection to the Interlochen community?*

Current IAA parent/guardianInterlochen staff memberInterlochen volunteerOther
I am able to host: (for partial breaks, please select "other")*

Fall Break/ThanskgivingWinter BreakSpring BreakSummerOther
If "other" is selected above, please describe your available dates:
Home Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Individuals in the Household

Please fill out all applicable fields
Adult 1
Name*

First NameLast Name
Email*
example@example.com
Phone Number*

Area CodePhone Number
Adult 2
Name

First NameLast Name
Email
example@example.com
Phone Number

Area CodePhone Number
Other adults in the household
Children in the household (names and ages)
Hosting and Home Life
How many students are you able to host?*
Have you hosted students in your home before?*

YesNo
What language(s) do you speak at home?*
If you attend religious services, will you expect your visiting student to attend services?*
Do you agree to take your visiting student to their religious service of choice?*
Does anyone smoke in your home?*
Do you have any household pets?*
Tell us about your parenting style:
How would you describe your parenting/caregiving style?*
I expect my visiting student to be:*

Dependent. The visiting student will be supervised throughout the day and on all activitiesPseudo-dependent. The visiting student will be allowed to spend time at home alone, but may not travel/leave the house without supervision.Independent. The visiting student will be allowed to travel around town/visit others without adult supervision.Other (please explain)
Please explain:
Do you have a curfew or an expected bedtime? What are those?*
Are electronics in the home free to use at any time? What about books/board games/toys? (describe limitations)*
I expect my visiting student to: (check all that apply)*

Spend social time with the familySpend most of their time independentlyHelp with household choresDo their own laundry
My family goes to bed: (check all that apply)*

Early (before 10pm)Late (after 10pm)
My family wakes up:*

Early (before 8am)Late (after 8am)
Food and meals:
At my home, for breakfast we usually: (check all that apply)*

Eat aloneEat together as a familyHave home cooked mealsHave takeout/go out to eatMix of the aboveOther (please explain)
Please explain:
At my home, for lunch we usually: (check all that apply)*

Eat aloneEat together as a familyHave home cooked mealsHave takeout/go out to eatMix of the aboveOther (please explain)
Please explain:
At my home, we usually eat dinner: (check all that apply)*

alonetogether as a familyhave home cooked mealshave takeout/go out to eatMix of the aboveOther (please explain)
Please explain:
Can your family accommodate various food limitations, such as allergies, kosher, vegetarian?*
Housing Questions:
During break, my family will be: (check all that apply)*

Staying at homeTraveling - staying at hotelsTraveling - staying at another family member’s home
The visiting student will have: (please check all that apply)*

Their own bedroomA shared bedroomTheir own bathroomA shared bathroomA king bedA queen bedA twin bedSleeping bag/tent - with a family that goes campingOther (please explain)
Who will they share a bedroom with?
Who will they share a bathroom with?
Please explain:
My home has: (please check all that apply)*

A piano (please describe)A designated practice spaceInternet accessNone of the above
Describe the type of piano in your home:
Please add any other information you believe would be helpful in matching your family with a visiting student.
All students are fully vaccinated for COVID-19. Please acknowledge that all vaccine-eligible family members have been vaccinated.
Please fill out and sign the waiver found here, and attach below.
Please attach the signed Host Family Liability Agreement

Browse Files

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There may be stipends available for host families. Please email kalyn.rabuse@interlochen.org with any questions or for more details.
Should be Empty:

Application to be a Host Family

Individuals in the Household

Hosting and Home Life